Keerthi Bansal, is a medicare enrolled "Allergy & Immunology" physician in Sioux Falls, South Dakota. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Sanford Medical Center and her current practice location is
1321 W 22nd St, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 404-4000.
Keerthi Bansal is licensed to practice in South Dakota (license number 15364) 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 1053814863.
Physician's Profile
| Full Name | Keerthi Bansal |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 8 Years |
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| Location | 1321 W 22nd St, Sioux Falls, South Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keerthi Bansal graduated from medical school in 2018
NPI Data:
- NPI Number: 1053814863
- Provider Enumeration Date: 03/18/2018
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739429945
- Enrollment ID: I20240830002484
Medical Identifiers
Medical identifiers for Keerthi Bansal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053814863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 036.160246 (Illinois) | Secondary |
| 207K00000X | Allergy & Immunology | 15364 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sanford Medical Center | 8325950215 | 750 |
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. Keerthi Bansal allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093090342
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388 |
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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. Keerthi 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 |
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Keerthi Bansal,
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Keerthi Bansal,
1321 W 22nd St,
Sioux Falls, SD 57105-1502
Ph: (605) 404-4000 |
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