Heather E Baniak, PT is a
Physical Therapist based in St Charles, Missouri. Heather E Baniak is licensed to practice in Missouri (license number 2009020457) and her current practice location is
2454 West Clay, St Charles, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 949-3926.
NPI number for Heather E Baniak is 1316177637 and her current mailing address is 607 Dewey Ave Nw, Ste 300, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316177637.
Healthcare Provider's Profile
Full Name | Heather E Baniak |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 2454 West Clay, St Charles, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316177637
- Provider Enumeration Date: 07/21/2009
- Last Update Date: 08/23/2016
Medical Identifiers
Medical identifiers for Heather E Baniak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316177637 | NPI | - | NPPES |
P01170364 | Other | MO | RAILROAD MEDICARE |
12480681 | Other | MO | CAQH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2009020457 (Missouri) | Primary |
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. Heather E Baniak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Heather E Baniak, PT 607 Dewey Ave Nw, Ste 300, Grand Rapids, MI 49504-7335 Ph: (616) 356-5000 | Heather E Baniak, PT 2454 West Clay, St Charles, MO 63301-2548 Ph: (636) 949-3926 |
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