| Vishal Bansal, MD | |
| 200 Clinic Dr, Madisonville, KY 42431-1661 | |
| (270) 326-6070 | |
| (270) 326-6080 | 
| Full Name | Vishal Bansal | 
|---|---|
| Gender | Male | 
| Speciality | Pain Medicine - Interventional Pain Medicine | 
| Location | 200 Clinic Dr, Madisonville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750970265 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | BP10072348 (Texas) | Secondary | 
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 59917 (Kentucky) | Primary | 
| Entity Name | Baptist Health Deaconess Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Vishal Bansal, MD 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 326-6070 | Vishal Bansal, MD 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 326-6070 | 
| Michele Deann Blair, APRN, NP-C Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 Clinic Dr # 6, Madisonville, KY 42431 Phone: 812-477-7246 Fax: 270-554-8987 | |
| Jessica Lynn Anglin, NP Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 Clinic Dr Fl 6, Madisonville, KY 42431 Phone: 812-477-7246 Fax: 812-477-7240 |