Ameena Banu, PA in Jackson, MS - Medicare Physician Assistant

Ameena Banu, PA is a medicare enrolled "Physician Assistant" in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-1000.

Ameena Banu is licensed to practice in Mississippi (license number PA00461) 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 1679103337.

Contact Information

	Ameena Banu, PA
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-1000
	(601) 815-0434

Provider's Profile

Full Name	Ameena Banu
Gender	Female
Speciality	Physician Assistant
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679103337
Provider Enumeration Date: 01/22/2020
Last Update Date: 01/22/2020

Medicare PECOS Information:

PECOS PAC ID: 7416387675
Enrollment ID: I20200501000213

Medical Identifiers

Medical identifiers for Ameena Banu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679103337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA00461 (Mississippi)	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. Ameena Banu 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
Ameena Banu, PA 2500 North State Street, Cbo-suite 4200, Jackson, MS 39216-4500 Ph: (601) 496-9794	Ameena Banu, PA 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000

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Physician Assistant Nurses in Jackson, MS

David Andrew Porter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Rowdy Chance Lee, MD Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153
Kelsey A North, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 971 Lakeland Dr Ste 1460, Jackson, MS 39216 Phone: 513-708-4211
Mary Allison Durr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1835
Sarah Joanna Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7275 S Siwell Rd, Jackson, MS 39272 Phone: 601-373-7722 Fax: 601-373-7128
Mrs. Victoria Nicole Lott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 656, Jackson, MS 39216 Phone: 601-366-6606
Heather Morris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St Ste 502, Jackson, MS 39202 Phone: 601-944-1781

Ameena Banu, PA - Medicare Physician Assistant in Jackson, MS