Liza De Olazo Banaag, MD - Medicare Family Medicine in Dallas, TX

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Liza De Olazo Banaag, MD is a medicare enrolled "Family Medicine" physician in Dallas, Texas. Her current practice location is 17218 Preston Rd # 2000, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (877) 866-7123.

Liza De Olazo Banaag is licensed to practice in Texas (license number K5793) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194916874.

Contact Information

Liza De Olazo Banaag, MD
17218 Preston Rd # 2000,
Dallas, TX 75252-4018
(877) 866-7123
Not Available

Map and Direction




Physician's Profile

Full NameLiza De Olazo Banaag
GenderFemale
SpecialityFamily Medicine
Location17218 Preston Rd # 2000, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194916874
  • Provider Enumeration Date: 08/07/2007
  • Last Update Date: 06/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466544069
  • Enrollment ID: I20111025000646

Medical Identifiers

Medical identifiers for Liza De Olazo Banaag such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194916874NPI-NPPES
096334004MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine K5793 (Texas)Secondary
207Q00000XFamily Medicine K5793 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Liza De Olazo Banaag allows following entities to bill medicare on her behalf.
Entity NameUtmb Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438
Entity NameVohra Post Acute Care Physicians Of Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821424789
PECOS PAC ID: 0042447682
Enrollment ID: O20131205001723

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. Liza De Olazo Banaag 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 AddressPractice Location Address
Liza De Olazo Banaag, MD
Po Box 742712,
Atlanta, GA 30374-2712

Ph: (877) 866-7123		Liza De Olazo Banaag, MD
17218 Preston Rd # 2000,
Dallas, TX 75252-4018

Ph: (877) 866-7123

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.