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Primary Practice Address
8220 WALNUT HILL LN STE 608
DALLAS, TX 75231-4424 US
Accepts Medicare Payment

PECOS Enrolled

Charles Jack Banta II

Spinal Surgeon


Charles Jack Banta II

Overview

Charles Jack Banta II is a Spinal Surgeon in the DALLAS area and has over 38 years of experience. Charles Jack Banta II primary office location is at 8220 WALNUT HILL LN STE 608 and new patients are welcome to contact this healthcare provider for an appointment. He attended Louisiana State University School Of Medicine In New Orleans and graduated 1986

Charles Jack Banta II is affiliated with nine hospitals in the DALLAS area, including . The NPI number is 1205848512 and the information was updated approximately 17 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
8220 WALNUT HILL LN STE 608
DALLAS, TX 75231-4424 US
Phone: (214)-987-3434
Fax:
Practice Mailing Information
8220 WALNUT HILL LN STE 608
DALLAS, TX 75231-4424 US
Phone: (214)-987-3434
Fax: (214)-987-3799
License Number State
J0438 TX
Type/Issuer IdentifierState
BLUE CROSS 81W560 TX
Taxonomy StatePrimary?
Spinal Surgeon - Taxonomy Code 207XS0117X TXY

Quality Reporting:

Accepts Medicare Assignment: Yes

If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount.

Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No
Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No
Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No
Committed to heart health through the Million Hearts� initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20101122000067
PECOS Individual PAC ID: 5799971446
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes