Dr Wachovia Chanta' Banks, DO in Blythewood, SC - Medicare

Dr Wachovia Chanta' Banks, DO is a medicare enrolled "Family Medicine" physician in Blythewood, South Carolina. Her current practice location is 1175 Grey Pine Dr, Blythewood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 995-5599.

Dr Wachovia Chanta' Banks is licensed to practice in Louisiana (license number COVID19-TMP-211) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487880126.

Contact Information

	Dr Wachovia Chanta' Banks, DO
	1175 Grey Pine Dr, Blythewood, SC 29016-7320
	(803) 995-5599
	Not Available

Physician's Profile

Full Name	Dr Wachovia Chanta' Banks
Gender	Female
Speciality
Experience	Years
Location	1175 Grey Pine Dr, Blythewood, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Wachovia Chanta' Banks attended and graduated from in

NPI Data:

NPI Number: 1487880126
Provider Enumeration Date: 06/09/2009
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Wachovia Chanta' Banks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487880126	NPI	-	NPPES
518700	Medicaid	SC
2570986	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OT013286 (Pennsylvania)	Secondary
207Q00000X	Family Medicine	51870 (South Carolina)	Secondary
208D00000X	General Practice	OT013286 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	COVID19-TMP-211 (Louisiana)	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 Wachovia Chanta' Banks 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
Dr Wachovia Chanta' Banks, DO 5800 Brunswick Ct, New Orleans, LA 70131-5425 Ph: (717) 880-3740	Dr Wachovia Chanta' Banks, DO 1175 Grey Pine Dr, Blythewood, SC 29016-7320 Ph: (803) 995-5599

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Dr Wachovia Chanta' Banks, DO - Medicare in Blythewood, SC