Jeanette S Bantamoi, in Menasha, WI - Medicare Speech-Language Pathologist Provider

Jeanette S Bantamoi, is a medicare enrolled "Speech-language Pathologist" provider in Menasha, Wisconsin. Her current practice location is 1550 Midway Pl, Menasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 727-8140.

Jeanette S Bantamoi is licensed to practice in Wisconsin (license number 2817-154) 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 1639292782.

Contact Information

	Jeanette S Bantamoi,
	1550 Midway Pl, Menasha, WI 54952-1165
	(920) 727-8140
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeanette S Bantamoi
Gender	Female
Speciality	Speech-language Pathologist
Location	1550 Midway Pl, Menasha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639292782
Provider Enumeration Date: 04/06/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2062637226
Enrollment ID: I20140701001079

Medical Identifiers

Medical identifiers for Jeanette S Bantamoi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639292782	NPI	-	NPPES
42577100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2817-154 (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. Jeanette S Bantamoi allows following entities to bill medicare on her behalf.

Provider Name	Great Lakes Healthcare Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1184282618 PECOS PAC ID: 5395079719 Enrollment ID: O20190730000104

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. Jeanette S Bantamoi 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
Jeanette S Bantamoi, 1550 Midway Pl, Menasha, WI 54952-1165 Ph: (920) 727-8140	Jeanette S Bantamoi, 1550 Midway Pl, Menasha, WI 54952-1165 Ph: (920) 727-8140

Reviews and Comments

Speech-Language Pathologist in Menasha, WI

Ms. Heather Ann Bancroft, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: W6415 Sonny Dr Apt 8, Menasha, WI 54952 Phone: 920-365-4417 Fax: 920-338-9121
Melissa Jean Plutz, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Appleton Rd, Menasha, WI 54952 Phone: 920-968-6228 Fax: 920-725-2572
Mrs. Erin Leigh Hietpas, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1550 Midway Pl, Menasha, WI 54952 Phone: 920-727-8140
Sharon Therese Bonneau, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Appleton Rd, Menasha, WI 54952 Phone: 920-968-6021 Fax: 920-725-2572
Mrs. Shanna Headley Davis, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Midway Rd, Menasha, WI 54952 Phone: 406-223-9241
Tina Spellman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1550 Midway Pl, Menasha, WI 54952 Phone: 920-727-8140

Jeanette S Bantamoi, - Medicare Speech-Language Pathologist in Menasha, WI