Kachine Marie Banahan, APRN is a medicare enrolled "Nurse Practitioner" in Aurora, Nebraska. Her current practice location is
609 O St, Aurora, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 694-3191.
Kachine Marie Banahan is licensed to practice in Nebraska (license number 115420) 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 1306689518.
Provider's Profile
| Full Name | Kachine Marie Banahan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 609 O St, Aurora, Nebraska |
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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: 1306689518
- Provider Enumeration Date: 06/15/2024
- Last Update Date: 06/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709317902
- Enrollment ID: I20240928000401
Medical Identifiers
Medical identifiers for Kachine Marie Banahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306689518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 115420 (Nebraska) | Primary |
| 163W00000X | Registered Nurse | 89252 (Nebraska) | Secondary |
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. Kachine Marie Banahan allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Community Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881603850
PECOS PAC ID: 1355394040
Enrollment ID: O20100213000119 |
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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. Kachine Marie Banahan 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 |
|---|
Kachine Marie Banahan, APRN
1423 7th St,
Aurora, NE 68818-1141
Ph: (402) 694-3171 | Kachine Marie Banahan, APRN
609 O St,
Aurora, NE 68818-1100
Ph: (402) 694-3191 |
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