Kaitlyn R Banning, | |
1005 Division St, Prescott, AZ 86301-1601 | |
(928) 776-8428 | |
Not Available |
Full Name | Kaitlyn R Banning |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1005 Division St, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962065219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5101027374 (Michigan) | Secondary |
207V00000X | Obstetrics & Gynecology | 011238 (Arizona) | Primary |
Entity Name | Botsford General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518091735 PECOS PAC ID: 2668385238 Enrollment ID: O20031111000592 |
Mailing Address | Practice Location Address |
---|---|
Kaitlyn R Banning, 1005 Division St, Prescott, AZ 86301-1601 Ph: (928) 776-8428 | Kaitlyn R Banning, 1005 Division St, Prescott, AZ 86301-1601 Ph: (928) 776-8428 |
Mary P Hogan, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1005 Division St, Prescott, AZ 86301 Phone: 928-776-8428 Fax: 928-776-8057 | |
Michele R Jones, R.N.F.A. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl, Suite 1, Prescott, AZ 86305 Phone: 928-778-4300 Fax: 928-771-0920 | |
Cydney Siggins, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1005 Division St, Prescott, AZ 86301 Phone: 928-776-8428 Fax: 928-776-8057 | |
Dr. Luis Anthony Fernandez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1005 Division St, Prescott, AZ 86301 Phone: 928-776-8428 Fax: 928-776-8057 | |
Denise Lynn Gallus, PA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 Willow Creek Rd Ste E, Prescott, AZ 86301 Phone: 928-583-7887 | |
Dr. Jeanette Marie Pilotte, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 802 Ainsworth Dr, Suite C, Prescott, AZ 86301 Phone: 928-583-7887 Fax: 928-583-7886 | |
Josephine Kim, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 |