Dr Wachovia Chanta' Banks, DO is a medicare enrolled "Family Medicine" physician in Blythewood, South Carolina. Her current practice location is
1175 Grey Pine Dr, Blythewood, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 995-5599.
Dr Wachovia Chanta' Banks is licensed to practice in Louisiana (license number COVID19-TMP-211) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487880126.
Physician's Profile
| Full Name | Dr Wachovia Chanta' Banks |
|---|
| Gender | Female |
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| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 1175 Grey Pine Dr, Blythewood, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Wachovia Chanta' Banks attended and graduated from in
NPI Data:
- NPI Number: 1487880126
- Provider Enumeration Date: 06/09/2009
- Last Update Date: 01/06/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Wachovia Chanta' Banks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487880126 | NPI | - | NPPES |
| 518700 | Medicaid | SC | |
| 2570986 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | OT013286 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 51870 (South Carolina) | Secondary |
| 208D00000X | General Practice | OT013286 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | COVID19-TMP-211 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wachovia Chanta' Banks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Wachovia Chanta' Banks, DO
5800 Brunswick Ct,
New Orleans, LA 70131-5425
Ph: (717) 880-3740 | Dr Wachovia Chanta' Banks, DO
1175 Grey Pine Dr,
Blythewood, SC 29016-7320
Ph: (803) 995-5599 |
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