Yadira Santiago Banuelos, MSN, RN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Monon, Indiana. Her current practice location is
629 E Broadway St, Monon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(877) 797-2404.
Yadira Santiago Banuelos is licensed to practice in Indiana (license number 71008418A) 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 1336624501.
Provider's Profile
Full Name | Yadira Santiago Banuelos |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 629 E Broadway St, Monon, Indiana |
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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: 1336624501
- Provider Enumeration Date: 10/03/2018
- Last Update Date: 10/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012339369
- Enrollment ID: I20230926001725
Medical Identifiers
Medical identifiers for Yadira Santiago Banuelos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336624501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71008418A (Indiana) | 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. Yadira Santiago Banuelos allows following entities to bill medicare on her behalf.
Entity Name | Trustees Of Purdue University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619055712 PECOS PAC ID: 2567373012 Enrollment ID: O20200821001390 |
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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. Yadira Santiago Banuelos 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 |
Yadira Santiago Banuelos, MSN, RN, FNP-BC 6125 Gallegos Dr, West Lafayette, IN 47906-5798 Ph: (765) 714-7205 | Yadira Santiago Banuelos, MSN, RN, FNP-BC 629 E Broadway St, Monon, IN 46923 Ph: (877) 797-2404 |
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