NPIMap

Banner Telehealth LLC

A Medicare group practice based in Mesa, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7113314279), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7113314279The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
1
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 16 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20220420002128 AZ Part B Supplier - Clinic/Group Practice 1396492005

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (8).

Sources for this page