Blake Ariel Banner, PT in Forestville, MD - Medicare Physical Therapist Provider

Blake Ariel Banner, PT is a medicare enrolled "Physical Therapist" provider in Forestville, Maryland. Her current practice location is 2950 Donnell Dr Ste G, Forestville, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 492-3410.

Blake Ariel Banner is licensed to practice in Indiana (license number 05015177A) 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 1942770342.

Contact Information

	Blake Ariel Banner, PT
	2950 Donnell Dr Ste G, Forestville, MD 20747-3277
	(240) 492-3410
	(301) 278-9852

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Ariel Banner
Gender	Female
Speciality	Physical Therapist
Location	2950 Donnell Dr Ste G, Forestville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942770342
Provider Enumeration Date: 11/28/2018
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9537405998
Enrollment ID: I20230314001270

Medical Identifiers

Medical identifiers for Blake Ariel Banner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942770342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070026352 (Illinois)	Secondary
225100000X	Physical Therapist	27579 (Maryland)	Secondary
225100000X	Physical Therapist	05015177A (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. Blake Ariel Banner allows following entities to bill medicare on her behalf.

Provider Name	Athletic And Therapeutic Institute Of Naperville, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494

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. Blake Ariel Banner 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
Blake Ariel Banner, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223	Blake Ariel Banner, PT 2950 Donnell Dr Ste G, Forestville, MD 20747-3277 Ph: (240) 492-3410

Reviews and Comments

Physical Therapist in Forestville, MD

Mr. Jonniel Marquez Estrella, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 866-370-8206
Danielle Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7500 Marlboro Pike Ste A, Forestville, MD 20747 Phone: 301-238-4723
Ms. Lauren Hallie Collins, M.P.T., C.L.T.-LANA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7610 Pennsylvania Ave Ste 305, 7525 Greenway Center Drive, Ste216, Greenbelt, Md 20770, Forestville, MD 20747 Phone: 313-550-6367 Fax: 301-669-1873
Vincent Harrison, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 240-492-3410 Fax: 301-278-9852
Makeshia Lucien, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7500 Marlboro Pike Ste A, Forestville, MD 20747 Phone: 301-238-4723
Dr. Aderonke M M Abassi, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7420 Marlboro Pike, Forestville, MD 20747 Phone: 301-736-0240 Fax: 301-736-9366
Meikel Barnes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 240-492-3410 Fax: 301-278-9852

Blake Ariel Banner, PT - Medicare Physical Therapist in Forestville, MD