TAYLOR MARIE BANASZAK PA-C
NPI 1679341754
Physician Assistant in Winter Haven, FL

Active since December 18, 2023PECOS EnrolledAccepts Medicare Assignment
550 POPE AVE NW, WINTER HAVEN, FL 33881(863) 299-2630(863) 904-0398 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Taylor Marie Banaszak Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR MARIE BANASZAK PA-C (NPI 1679341754) is an individual physician assistant in Winter Haven, Florida, licensed in Florida (PA9118109) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeland, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679341754
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAYLOR MARIE BANASZAKCredential: PA-C
Location Address550 POPE AVE NWWinter Haven, FL 33881-4679
Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (321) 332-6947 · Fax (407) 286-4515
Fax(863) 904-0398
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 18, 2023
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1679341754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9118109 Licensed in NY · 030381
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

550 POPE AVE NW, Winter Haven, FL 33881

Secondary Practice Location 1

Location 13240 S Florida Ave Ste 101Lakeland, FL 33803-4574 · Phone (863) 644-7337

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Taylor Marie Banaszak Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961854930
PECOS Enrollment IDI20240116002474
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33881 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
550 POPE AVE NW
WINTER HAVEN, FL 33881
Pediatrics
550 POPE AVE NW
WINTER HAVEN, FL 33881
Physician Assistant
550 POPE AVE NW
WINTER HAVEN, FL 33881
Clinic/Center (Urgent Care)
550 POPE AVE NW, SUITE 200
WINTER HAVEN, FL 33881
Family Medicine
550 POPE AVE NW, SUITE 300
WINTER HAVEN, FL 33881
Pediatrics
550 POPE AVE NW, SUITE 100
WINTER HAVEN, FL 33881
Physician Assistant
550 POPE AVE NW, SUITE 200
WINTER HAVEN, FL 33881
Family Medicine
550 POPE AVE NW
WINTER HAVEN, FL 33881

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679341754, enumerated as an "individual" on December 18, 2023.

The provider is located at 550 POPE AVE NW WINTER HAVEN, FL 33881 and the phone number is (863) 299-2630.

Physician Assistant with taxonomy code 363A00000X.