Dr Kelly L Banks, MD | |
925 Highland Blvd, Ste 1200, Bozeman, MT 59715-6900 | |
(406) 587-0704 | |
(406) 587-1147 |
Full Name | Dr Kelly L Banks |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 925 Highland Blvd, Bozeman, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487651766 | NPI | - | NPPES |
0085748 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 6438 (Montana) | Primary |
Entity Name | Bozeman Health Deaconess Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619347390 PECOS PAC ID: 4688984164 Enrollment ID: O20151112002559 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly L Banks, MD 925 Highland Blvd, Suite 1100, Bozeman, MT 59715-6900 Ph: (406) 414-4550 | Dr Kelly L Banks, MD 925 Highland Blvd, Ste 1200, Bozeman, MT 59715-6900 Ph: (406) 587-0704 |
Dr. Anthony Allen Goodman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2555 Deer Creek Dr, Bozeman, MT 59715 Phone: 406-585-5452 | |
Dr. Garth A Olds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 925 Highland Blvd Ste 1100, Bozeman, MT 59715 Phone: 406-414-4550 Fax: 406-414-4599 | |
Dr. Jarred Mcdaniel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Willson Ave, Suite 300c, Bozeman, MT 59715 Phone: 406-577-2346 Fax: 866-404-8715 | |
Dr. Edward H Fenstermacher, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 7211 Jackson Creek Rd, Bozeman, MT 59715 Phone: 406-522-9729 Fax: 406-522-9729 | |
Dr. Charles F Rinker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 925 Highland Blvd, Ste 1200, Bozeman, MT 59715 Phone: 406-587-0704 Fax: 406-587-1147 | |
Dr. Robin Todd Hape, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 925 Highland Blvd Ste 1100, Bozeman, MT 59715 Phone: 406-414-4550 |