Maureen Theresa Banta, MD in Alexandria, VA

Maureen Theresa Banta, MD is a medicare enrolled "Pediatrics" physician in Alexandria, Virginia. Her current practice location is 2500 N Van Dorn St Ste 102, Alexandria, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 933-0555.

Maureen Theresa Banta is licensed to practice in Virginia (license number 0101057222) 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 1871676122.

Contact Information

	Maureen Theresa Banta, MD
	2500 N Van Dorn St Ste 102, Alexandria, VA 22302-1601
	(703) 933-0555
	Not Available

Map and Direction

Physician's Profile

Full Name	Maureen Theresa Banta
Gender	Female
Speciality	Pediatrics
Location	2500 N Van Dorn St Ste 102, Alexandria, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871676122
Provider Enumeration Date: 10/23/2006
Last Update Date: 11/19/2022

Medicare PECOS Information:

PECOS PAC ID: 0345614889
Enrollment ID: I20230323000722

Medical Identifiers

Medical identifiers for Maureen Theresa Banta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871676122	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D0092143 (Maryland)	Secondary
208000000X	Pediatrics	0101057222 (Virginia)	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. Maureen Theresa Banta allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298

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. Maureen Theresa Banta 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
Maureen Theresa Banta, MD 6609 32nd St Nw, Washington, DC 20015-2309 Ph: (301) 922-0522	Maureen Theresa Banta, MD 2500 N Van Dorn St Ste 102, Alexandria, VA 22302-1601 Ph: (703) 933-0555

Reviews and Comments

Pediatrics Doctors in Alexandria, VA

Roman M Kishi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6303 Little River Tpke, # 300, Alexandria, VA 22312 Phone: 703-914-8989 Fax: 703-914-5494
Emily B Remus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1451 Belle Haven Rd Ste 110, Alexandria, VA 22307 Phone: 703-765-6093
Dr. Michael Anthony Holliday, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4320 Seminary Rd, Suite 3000, Alexandria, VA 22304 Phone: 703-504-3069 Fax: 703-504-3632
Dr. Nirmala Kharbanda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6090 Franconia Rd, Suite A, Alexandria, VA 22310 Phone: 703-922-0021 Fax: 703-922-0035
Dr. Clifton Edward Yu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 402 N Union St, Alexandria, VA 22314 Phone: 703-683-0949
Dr. Valeria H Zincke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4480 King St, Alexandria Health Department, Alexandria, VA 22302 Phone: 703-838-4400 Fax: 703-838-4037
Bethan Clare Fanning, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1451 Belle Haven Rd Ste 110, Alexandria, VA 22307 Phone: 703-765-6093

Maureen Theresa Banta, MD - Medicare Pediatrics in Alexandria, VA