Itisha Bansal, in Bridgeport, CT - Medicare Anesthesiology

Itisha Bansal, is a medicare enrolled "Anesthesiology" physician in Bridgeport, Connecticut. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Mary Imogene Bassett Hospital and her current practice location is 2800 Main St, Gme Office, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 576-5425.

Itisha Bansal is licensed to practice in New York (license number 291299) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598185175.

Contact Information

	Itisha Bansal,
	2800 Main St, Gme Office, Bridgeport, CT 06606
	(203) 576-5425
	Not Available

Map and Direction

Physician's Profile

Full Name	Itisha Bansal
Gender	Female
Speciality	Anesthesiology
Experience	17 Years
Location	2800 Main St, Bridgeport, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Itisha Bansal graduated from medical school in 2008

NPI Data:

NPI Number: 1598185175
Provider Enumeration Date: 04/22/2014
Last Update Date: 09/04/2018

Medicare PECOS Information:

PECOS PAC ID: 3577814235
Enrollment ID: I20180920000070

Medical Identifiers

Medical identifiers for Itisha Bansal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598185175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	291299 (New York)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bassett Healthcare	Cooperstown, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mary Imogene Bassett Hospital	3779488325	728

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. Itisha Bansal allows following entities to bill medicare on her behalf.

Entity Name	Mary Imogene Bassett Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553

Entity Name	Mary Imogene Bassett Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834

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. Itisha 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 Address	Practice Location Address
Itisha Bansal, 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3153	Itisha Bansal, 2800 Main St, Gme Office, Bridgeport, CT 06606 Ph: (203) 576-5425

Reviews and Comments

Anesthesiology Doctors in Bridgeport, CT

Marissa Rubin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Jairo Castillo, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport Anesthesia Associates, P.c., Bridgeport, CT 06610 Phone: 203-384-3000
Martin Rosenblum, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport Anesthesia Associates, P.c., Bridgeport, CT 06610 Phone: 203-384-3072
Artem Emple, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Dr. Anthony Peluso, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport Anesthesia Associates, Pc, Bridgeport, CT 06610 Phone: 203-384-3000
William Hatton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756
Patrick A Tennant, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4920 Main St, 200, Bridgeport, CT 06606 Phone: 203-374-1515 Fax: 203-374-4702

Itisha Bansal, - Medicare Anesthesiology in Bridgeport, CT