Dr Shelly Bansal, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Kettering, OH

  1. Home
  2. Thoracic Surgery (Cardiothoracic Vascular Surgery)
  3. OH
  4. Kettering
Dr Shelly Bansal, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Kettering, Ohio. Her current practice location is 3533 Southern Blvd Ste 5650, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 294-3611.

Dr Shelly Bansal is licensed to practice in Ohio (license number 35.096003) 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 1174793111.

Contact Information

Dr Shelly Bansal, MD
3533 Southern Blvd Ste 5650,
Kettering, OH 45429-1263
(937) 294-3611
(937) 294-9010

Map and Direction




Physician's Profile

Full NameDr Shelly Bansal
GenderFemale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location3533 Southern Blvd Ste 5650, Kettering, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174793111
  • Provider Enumeration Date: 03/05/2008
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688801806
  • Enrollment ID: I20150302000881

Medical Identifiers

Medical identifiers for Dr Shelly Bansal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174793111NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 2022044341 (Missouri)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 35.096003 (Ohio)Primary

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. Dr Shelly Bansal allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic Health System In Waycross, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154745982
PECOS PAC ID: 0042124919
Enrollment ID: O20040308000639

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 Shelly Bansal 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
Dr Shelly Bansal, MD
445 N Silverbell Rd Ste 201,
Tucson, AZ 85745-2686

Ph: (520) 396-1370		Dr Shelly Bansal, MD
3533 Southern Blvd Ste 5650,
Kettering, OH 45429-1263

Ph: (937) 294-3611

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Kettering, OH

Dr. Bruce Henry Rank, D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Southern Blvd, Suite 5650, Kettering, OH 45429
Phone: 937-294-3611    Fax: 937-294-9010
Dr. Thomas J Merle, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Southern Blvd, Ste 5650, Kettering, OH 45429
Phone: 937-294-3611    Fax: 937-294-9010
Dr. Jeffrey Keith Hoffman, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429
Phone: 937-297-6800    Fax: 937-297-6810
Dr. Peter M Pavlina, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Southern Blvd, Ste 5650, Kettering, OH 45429
Phone: 937-294-3611    Fax: 937-294-9010

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.