Dr Sudeep Bansal, MD - Medicare Internal Medicine in Glastonbury, CT

Dr Sudeep Bansal, MD is a medicare enrolled "Internal Medicine" physician in Glastonbury, Connecticut. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Avanta Clinic Llc and his current practice location is 131 New London Tpke Ste 105, Glastonbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 430-5599.

Dr Sudeep Bansal is licensed to practice in Connecticut (license number 047284) 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 1346437233.

Contact Information

Dr Sudeep Bansal, MD
131 New London Tpke Ste 105,
Glastonbury, CT 06033
(860) 430-5599
Not Available

Map and Direction




Physician's Profile

Full NameDr Sudeep Bansal
GenderMale
SpecialityInternal Medicine
Experience20 Years
Location131 New London Tpke Ste 105, Glastonbury, Connecticut
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:
  • Dr Sudeep Bansal graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1346437233
  • Provider Enumeration Date: 09/25/2007
  • Last Update Date: 08/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5698829570
  • Enrollment ID: I20090811000582

Medical Identifiers

Medical identifiers for Dr Sudeep Bansal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346437233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 047284 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avanta Clinic Llc99314568942

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 Sudeep Bansal allows following entities to bill medicare on his behalf.
Entity NameAvanta Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619467826
PECOS PAC ID: 9931456894
Enrollment ID: O20180724000695

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 Sudeep 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 Sudeep Bansal, MD
131 New London Tpke Ste 105,
Glastonbury, CT 06033-2246

Ph: (860) 430-5599
Dr Sudeep Bansal, MD
131 New London Tpke Ste 105,
Glastonbury, CT 06033

Ph: (860) 430-5599

Reviews and Comments


Internal Medicine Doctors in Glastonbury, CT

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Phone: 860-633-0500    Fax: 860-633-5250
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Thomas Freund, MD
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Phone: 860-633-0500    Fax: 860-633-5250
William Preskenis, MD
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Practice Location: 27 Sycamore St, Ste 100, Prime Healthcare, Glastonbury, CT 06033
Phone: 860-659-0581    Fax: 860-652-3077
Anthony F Lasala, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 703 Hebron Ave, Glastonbury, CT 06033
Phone: 860-659-8830    Fax: 860-633-8529

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.