Dr Jonathan Christopher Banta, MD - Medicare General Practice in Jbsa Lackland, TX

Dr Jonathan Christopher Banta, MD is a medicare enrolled "General Practice" physician in Jbsa Lackland, Texas. His current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 292-5350.

Dr Jonathan Christopher Banta is licensed to practice in Nebraska (license number 30743) 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 1427440791.

Contact Information

Dr Jonathan Christopher Banta, MD
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638
(210) 292-5350
Not Available



Physician's Profile

Full NameDr Jonathan Christopher Banta
GenderMale
SpecialityGeneral Practice
Location1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427440791
  • Provider Enumeration Date: 02/24/2015
  • Last Update Date: 09/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0648553404
  • Enrollment ID: I20170202000519

Medical Identifiers

Medical identifiers for Dr Jonathan Christopher Banta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427440791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0100XPreventive Medicine - Aerospace Medicine 24621 (Mississippi)Secondary
2083A0100XPreventive Medicine - Aerospace Medicine 30743 (Nebraska)Secondary
208D00000XGeneral Practice 30743 (Nebraska)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. Dr Jonathan Christopher Banta 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
Dr Jonathan Christopher Banta, MD
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-5350
Dr Jonathan Christopher Banta, MD
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-5350

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General Practice Doctors in Jbsa Lackland, TX

Logan Zapor, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236
Phone: 210-916-9928    
Kyle James Stevens, DO
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-228-6921    
Dr. Diane Fernandes, DO
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-5350    
Dr. Catarina Inoue, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-228-7084    
Dr. Julie Marie Fischer, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236
Phone: 210-292-7520    
Brian Patrick Staak, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-916-8666    Fax: 210-916-8712
Dr. Pansy Uberoi, MD, MPH
General Practice
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-539-9582    

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