Laci Ann Banker, CNM is a medicare enrolled "Advanced Practice Midwife" in Richland Center, Wisconsin. Her current practice location is
333 E 2nd St, Richland Center, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 647-6321.
Laci Ann Banker is licensed to practice in Wisconsin (license number ) 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 1861022279.
Provider's Profile
Full Name | Laci Ann Banker |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 333 E 2nd St, Richland Center, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861022279
- Provider Enumeration Date: 01/24/2020
- Last Update Date: 01/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 4486082567
- Enrollment ID: I20200324001847
Medical Identifiers
Medical identifiers for Laci Ann Banker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861022279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | (Wisconsin) | 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. Laci Ann Banker allows following entities to bill medicare on her behalf.
Entity Name | Richland Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
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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. Laci Ann Banker 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 |
Laci Ann Banker, CNM 22995 State Hwy 60, Muscoda, WI 53573-5592 Ph: () - | Laci Ann Banker, CNM 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321 |
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