Jessica Anne Banks, is a medicare enrolled "Nurse Practitioner - Family" in Chickamauga, Georgia. Her current practice location is
101 Kington Ln, Chickamauga, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 375-9400.
Jessica Anne Banks is licensed to practice in Tennessee (license number 31850) 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 1336870765.
Provider's Profile
| Full Name | Jessica Anne Banks |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 101 Kington Ln, Chickamauga, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336870765
- Provider Enumeration Date: 06/17/2022
- Last Update Date: 08/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365826559
- Enrollment ID: I20220907003661
Medical Identifiers
Medical identifiers for Jessica Anne Banks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336870765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 31850 (Tennessee) | 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. Jessica Anne Banks allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Health Partners Foundation, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922053545
PECOS PAC ID: 8022919570
Enrollment ID: O20040116000823 |
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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. Jessica Anne 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 |
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Jessica Anne Banks,
555 Smoketree Cir,
Ringgold, GA 30736-3314
Ph: () - | Jessica Anne Banks,
101 Kington Ln,
Chickamauga, GA 30707-1991
Ph: (706) 375-9400 |
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