Donald E Banicki, MD - Medicare Radiology in Rockford, IL

Donald E Banicki, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rockford, Illinois. His current practice location is 6426 Old Hunters Run, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 633-5995.

Donald E Banicki is licensed to practice in Illinois (license number 3604438) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295999225.

Contact Information

Donald E Banicki, MD
6426 Old Hunters Run,
Rockford, IL 61114-7812
(815) 633-5995
(815) 633-5995



Physician's Profile

Full NameDonald E Banicki
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location6426 Old Hunters Run, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295999225
  • Provider Enumeration Date: 07/18/2008
  • Last Update Date: 07/18/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7416997408
  • Enrollment ID: I20161028001036

Medical Identifiers

Medical identifiers for Donald E Banicki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295999225NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 3604438 (Illinois)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. Donald E Banicki 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 AddressPractice Location Address
Donald E Banicki, MD
6426 Old Hunters Run,
Rockford, IL 61114-7812

Ph: (815) 633-5995
Donald E Banicki, MD
6426 Old Hunters Run,
Rockford, IL 61114-7812

Ph: (815) 633-5995

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Radiology Doctors in Rockford, IL

Christopher Vittore,
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Practice Location: 1401 E State St, Rockford, IL 61104
Phone: 815-961-2030    
Hyungmin Kang, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1401 E State St, Rockford, IL 61104
Phone: 815-489-4760    

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