Melanie L Banal, NP-C - Medicare Nurse Practitioner in Breese, IL

Melanie L Banal, NP-C is a medicare enrolled "Nurse Practitioner" in Breese, Illinois. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mcdonough County Hospital District and her current practice location is 14160 Jamestown Rd, Breese, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 526-7154.

Melanie L Banal is licensed to practice in Illinois (license number 209011871) 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 1770986010.

Contact Information

Melanie L Banal, NP-C
14160 Jamestown Rd,
Breese, IL 62230-3694
(618) 526-7154
(618) 526-8248

Map and Direction




Provider's Profile

Full NameMelanie L Banal
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location14160 Jamestown Rd, Breese, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melanie L Banal graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1770986010
  • Provider Enumeration Date: 10/01/2014
  • Last Update Date: 03/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567684012
  • Enrollment ID: I20160506001023

Medical Identifiers

Medical identifiers for Melanie L Banal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770986010NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209011871 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mc Donough District HospitalMacomb, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcdonough County Hospital District044614018038

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. Melanie L Banal allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Hospital Breese Of The Hospital Sisters Of The Third Order
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457319154
PECOS PAC ID: 9638064892
Enrollment ID: O20040217000493
Entity NameMcdonough County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609180082
PECOS PAC ID: 0446140180
Enrollment ID: O20090407000082
Entity NameMcdonough County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992041511
PECOS PAC ID: 0446140180
Enrollment ID: O20131115000755
Entity NameGranite City Emergency Medicine Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861946626
PECOS PAC ID: 7012205784
Enrollment ID: O20161012001300

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. Melanie L Banal 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 AddressPractice Location Address
Melanie L Banal, NP-C
14160 Jamestown Rd,
Breese, IL 62230-3694

Ph: (618) 526-7154
Melanie L Banal, NP-C
14160 Jamestown Rd,
Breese, IL 62230-3694

Ph: (618) 526-7154

Reviews and Comments


Nurse Practitioner Nurses in Breese, IL

Emily Rhoades, NP
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Phone: 618-526-7271    Fax: 618-526-7313
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Mrs. Kara Ann Huegen, AGNP-C, FNP
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Phone: 618-526-7271    
Kelly Jean Kalmer, NP
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Medicare: Medicare Enrolled
Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230
Phone: 618-206-2082    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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