Rebecca A Banaski, D.O.
Individual provider Active NPI Obstetrics & Gynecology Physician · Dover, NH
NPI 1952500225 · NPPES record last updated Jun 28, 2022
Key facts
- NPI
- 1952500225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 13573 (NH)
- Practice address
- 770 Central Ave
Dover, NH 03820-3437 - Phone
- (603) 742-0101
- Fax
- (603) 743-3171
- NPI assigned
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of New England, College of Osteo Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wentworth Douglass Physician Corporation
Practice addresses (Care Compare)
770 Central Ave
Dover, NH 03820-3437
Phone (603) 742-0101
Hospital & facility affiliations
- Wentworth-Douglass Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070918000161 | NH | Practitioner - Obstetrics/Gynecology | 0143314443 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Westchester Neurological Consultant PC | Past | Accepting new patients | |
| Wentworth Douglass Hospital | Past | Accepting new patients |
Locations
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338
121 Corporate Dr
Bldg C
Portsmouth, NH 03801
Phone (603) 740-8787
67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092
150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212
Interoperability endpoints
- banaski.rebecca.wdh@direct.partners.masshiway.net
- rbanaski@gwhc.gwaydirect.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 13573 | NH | Yes |
Addresses
Primary practice location
770 Central Ave
Dover, NH 03820-3437
Mailing address
PO Box 412503
Boston, MA 02241-3437
Phone (617) 726-3884
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3076391 | Medicaid | NH |
Other providers in Dover, NH
- Linda Ann Baillargeon
- Kristin Baldoumas
- Rebecca M Balok-Searles
- Kristin Baltzley
- Silvio Balzano
- Dhrubajyoti Bandyopadhyay
- Alyssa Bangrazi
- Alexandra Eileen Barbehenn
- Adalgisa Barison Holtrop
- Kara Barnes Allaire
All providers in Dover, NH · Obstetrics & Gynecology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.