Kenneth J Banasiak, MD in Hartford, CT

Kenneth J Banasiak, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Hartford, Connecticut. His current practice location is 282 Washington St, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 545-9850.

Kenneth J Banasiak is licensed to practice in Maine (license number 017898) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205818929.

Contact Information

	Kenneth J Banasiak, MD
	282 Washington St, Hartford, CT 06106-3322
	(860) 545-9850
	(860) 545-8812

Map and Direction

Physician's Profile

Full Name	Kenneth J Banasiak
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	282 Washington St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205818929
Provider Enumeration Date: 11/17/2005
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 5799733416
Enrollment ID: I20050110000784

Medical Identifiers

Medical identifiers for Kenneth J Banasiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205818929	NPI	-	NPPES
30208101	Medicaid	NH
001354513	Medicaid	CT
433063199	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	035451 (Connecticut)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	017898 (Maine)	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. Kenneth J Banasiak allows following entities to bill medicare on his behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

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. Kenneth J Banasiak 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
Kenneth J Banasiak, MD 301 Us Route 1, Building C, Scarborough, ME 04074-7609 Ph: (207) 396-8600	Kenneth J Banasiak, MD 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9850

Reviews and Comments

Pediatrics Doctors in Hartford, CT

Dr. Irfan Ahmed Warsy, MBBS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9147 Fax: 860-545-9147
Ryan Ciarlo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-837-5560
James Hagadorn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-8950 Fax: 860-545-8945
Craig Schramm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9440 Fax: 860-545-9445
Mrs. Catherine Clinton Wiley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington Street, Hartford, CT 06106 Phone: 860-545-9300 Fax: 860-545-9301
Melissa Held, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9000 Fax: 860-545-9969
Adam Silverman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9200 Fax: 860-545-9134

Kenneth J Banasiak, MD - Medicare Pediatrics in Hartford, CT