Lawrence Estel Banta, MD - Medicare Psychiatry in Caldwell, ID

Lawrence Estel Banta, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Caldwell, Idaho. He went to University Of Nebraska College Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Emmett Counseling And Psychiatric Services, Llc and his current practice location is 1906 Fairview Ave, Suite 200, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 459-4667.

Lawrence Estel Banta is licensed to practice in Idaho (license number M-5243) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568440295.

Contact Information

Lawrence Estel Banta, MD
1906 Fairview Ave, Suite 200,
Caldwell, ID 83605-5407
(208) 459-4667
(208) 442-6520



Physician's Profile

Full NameLawrence Estel Banta
GenderMale
SpecialityPsychiatry
Experience46 Years
Location1906 Fairview Ave, Caldwell, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lawrence Estel Banta attended and graduated from University Of Nebraska College Of Medicine in 1978
  NPI Data:
  • NPI Number: 1568440295
  • Provider Enumeration Date: 01/03/2006
  • Last Update Date: 02/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678592094
  • Enrollment ID: I20051115000804

Medical Identifiers

Medical identifiers for Lawrence Estel Banta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568440295NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry M-5243 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Valley Medical CenterCaldwell, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emmett Counseling And Psychiatric Services, Llc07494694683

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lawrence Estel Banta allows following entities to bill medicare on his behalf.
Entity NameEmmett Counseling And Psychiatric Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992007249
PECOS PAC ID: 0749469468
Enrollment ID: O20110127000575

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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. Lawrence Estel 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
Lawrence Estel Banta, MD
Po Box 277976,
Atlanta, GA 30384-7976

Ph: () -
Lawrence Estel Banta, MD
1906 Fairview Ave, Suite 200,
Caldwell, ID 83605-5407

Ph: (208) 459-4667

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Psychiatry & Neurology Doctors in Caldwell, ID

Dr. Sandra Lare, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2609 S 10th Ave Ste 102, Caldwell, ID 83605
Phone: 208-454-2766    
Wade Harris, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 211 E Logan St, Ste 201, Caldwell, ID 83605
Phone: 208-454-0567    
Dr. Paul William Fleenor, DO
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 315 E Elm, Ste 100, Caldwell, ID 83605
Phone: 208-302-7101    Fax: 208-302-7188
Dr. Richard A. Montgomery, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605
Phone: 208-795-5072    
Colt Kennington,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605
Phone: 208-795-5072    
Dr. Alfred F Brem, DO
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605
Phone: 208-459-4667    Fax: 208-442-6520
Dr. L. Mark Kimsey, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 305 E Logan St, Caldwell, ID 83605
Phone: 208-459-2840    Fax: 208-459-3012

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