Stacey Bank, in Salt Lake City, UT - Medicare Family Practice

Stacey Bank, is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. She went to Georgetown University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Confederated Tribes Of The Goshute Reservation and her current practice location is 4465 S 900 E, Suite 200, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 266-2777.

Stacey Bank is licensed to practice in Utah (license number 5391997-1205) 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 1790797959.

Contact Information

	Stacey Bank,
	4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456
	(801) 266-2777
	(801) 266-1377

Map and Direction

Physician's Profile

Full Name	Stacey Bank
Gender	Female
Speciality	Family Practice
Experience	22 Years
Location	4465 S 900 E, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey Bank attended and graduated from Georgetown University School Of Medicine in 2002

NPI Data:

NPI Number: 1790797959
Provider Enumeration Date: 08/13/2006
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7517983232
Enrollment ID: I20240124003464

Medical Identifiers

Medical identifiers for Stacey Bank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790797959	NPI	-	NPPES
1790797959	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5391997-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Confederated Tribes Of The Goshute Reservation	0042451650	43

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. Stacey Bank allows following entities to bill medicare on her behalf.

Entity Name	Confederated Tribes Of The Goshute Reservation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750510277 PECOS PAC ID: 0042451650 Enrollment ID: O20130724000653

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. Stacey Bank 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
Stacey Bank, 4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456 Ph: (801) 266-2777	Stacey Bank, 4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456 Ph: (801) 266-2777

Reviews and Comments

Family Medicine Doctors in Salt Lake City, UT

Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771
Wesley J. Lewis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121 Phone: 801-365-1032 Fax: 801-365-1033

Stacey Bank, - Medicare Family Practice in Salt Lake City, UT