Monico Peter Banez, MD
Individual provider Active NPI Hospitalist Physician · Jackson, TN
NPI 1962479451 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1962479451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 27436 (MS)
- Practice address
- 620 Skyline Dr
Jackson, TN 38301-3923 - Phone
- (731) 660-8759
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Medicine Services of Tennessee PC
Hospital Medicine Services of Maine LLC
West Tennessee Healthcare Hospitalists Inc
West Tennessee Medical Group Inc
Practice addresses (Care Compare)
106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100
57 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3400
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-4923
742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-7000
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Northern Light Maine Coast Hospital
- Cumberland Medical Center
- Dyersburg Regional Medical Center
- Baptist Memorial Hospital - Carroll County
- Select Specialty Hospital - West Tennessee
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in TN, ME, TX, MS, WV, IA
- 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 |
|---|---|---|---|---|
| I20091211000468 | TN | Practitioner - Internal Medicine | 6406996008 | Reassigns benefits to 7 organizations |
| I20191120000479 | ME | Practitioner - Internal Medicine | 6406996008 | Reassigns benefits to 2 organizations |
| I20201012000600 | TX | Practitioner - Internal Medicine | 6406996008 | Reassigns benefits to 1 organization |
| I20220829000628 | MS | Practitioner - Hospitalist | 6406996008 | Reassigns benefits to 1 organization |
| I20250131002376 | WV | Practitioner - Internal Medicine | 6406996008 | Reassigns benefits to 1 organization |
| I20260414002131 | IA | Practitioner - Internal Medicine |
6406996008 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27436 | MS | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current |
Accepting new patients |
| Maine Medical Services LLC | Internal Medicine | Current |
Accepting new patients |
| West Tennessee Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| North Mississippi Medical Center, Inc | Current |
Accepting new patients | |
| Executive Outcomes PC | Internal Medicine | Current |
Accepting new patients |
| Hospital Medicine Services of Maine LLC | Hospitalist | Current |
Accepting new patients |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current |
Accepting new patients |
| University Health System Inc | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Internal Medicine | Current |
Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Apogee Medical Group, West Virginia, PLLC | Current |
Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current |
Accepting new patients | |
| University Health System, Inc | Internal Medicine | Current |
Accepting new patients |
| West Tennessee Healthcare Hospitalists Inc | Hospitalist | Current |
Accepting new patients |
| Genesis Health System | Past | Accepting new patients | |
| Jackson Madison County General Hospital | Past | Accepting new patients | |
| Eastern Maine Healthcare Systems Inland Hospital | Past | Accepting new patients |
Locations (25 of 28)
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 27436 | MS | Yes |
| Internal Medicine Physician | 207R00000X | 35303 | TN |
Addresses
Primary practice location
620 Skyline Dr
Jackson, TN 38301-3923
Mailing address
1804 Highway 45 Byp
Suite 604
Jackson, TN 38305-4436
Phone (731) 660-8759
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3889132 | Medicaid | TN | |
| 4070560 | Other | BCBS | |
| P00077531 | Other | RR MEDICARE |
Other providers in Jackson, TN
- John J Ball
- Tawanna R Ballard
- Thomas Kelly Ballard III
- Sheryl F Banaag
- Jaclyn Bane
- Marshall Denny Banks
- Allison Bankston
- Oshin M Bansode
- Barbara D Hawkes PC
- Morgan Barber
All providers in Jackson, TN · Hospitalist Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 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.