Mrs Shruthi Y Bannenahally, DDS in Scranton, PA - Medicare Dentist Provider

Mrs Shruthi Y Bannenahally, DDS is a medicare enrolled "Dentist - General Practice" provider in Scranton, Pennsylvania. Her current practice location is 1516 Scranton Carbondale Hwy, 346, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (407) 687-3470.

Mrs Shruthi Y Bannenahally is licensed to practice in Pennsylvania (license number DS037727) 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 1023258746.

Contact Information

	Mrs Shruthi Y Bannenahally, DDS
	1516 Scranton Carbondale Hwy, 346, Scranton, PA 18508-1136
	(407) 687-3470
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Shruthi Y Bannenahally
Gender	Female
Speciality	Dentist - General Practice
Location	1516 Scranton Carbondale Hwy, Scranton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023258746
Provider Enumeration Date: 02/21/2009
Last Update Date: 02/21/2009

Medicare PECOS Information:

PECOS PAC ID: 6608160494
Enrollment ID: I20160802000688

Medical Identifiers

Medical identifiers for Mrs Shruthi Y Bannenahally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023258746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DS037727 (Pennsylvania)	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. Mrs Shruthi Y Bannenahally 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
Mrs Shruthi Y Bannenahally, DDS 1 Capano Dr, A-5, Newark, DE 19702-1865 Ph: (407) 687-3470	Mrs Shruthi Y Bannenahally, DDS 1516 Scranton Carbondale Hwy, 346, Scranton, PA 18508-1136 Ph: (407) 687-3470

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Dentist in Scranton, PA

William Herbert Hitt, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 959 Wyoming Ave, Scranton, PA 18509 Phone: 570-504-0882 Fax: 570-504-0859
Hyun S Choi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 313 Mulberry St, Scranton, PA 18503 Phone: 570-346-7760
Dr. Susan Tina Thomas, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 600 Lackawanna Ave, Suite 300, Scranton, PA 18503 Phone: 570-342-9136
Dr. Kenneth Joseph Zenker, Dentist Medicare: Not Enrolled in Medicare Practice Location: 703 Cedar Avenue, Scranton, PA 18505 Phone: 570-346-6966 Fax: 570-346-1847
Dr. Robert Rahm, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 237 Penn Ave, Scranton, PA 18503 Phone: 917-288-3530
Dr. Joseph Anthony Gronsky, DMD Dentist Medicare: Medicare Enrolled Practice Location: 437 W Market St, Scranton, PA 18508 Phone: 570-342-2922 Fax: 570-342-7100

Mrs Shruthi Y Bannenahally, DDS - Medicare Dentist in Scranton, PA