| Vishal Bansal, MD | |
|
200 Clinic Dr, Madisonville, KY 42431-1661 | |
| (270) 326-6070 | |
| (270) 326-6080 |
| Full Name | Vishal Bansal |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 6 Years |
| Location | 200 Clinic Dr, Madisonville, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Madisonville | Madisonville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Deaconess Medical Group Inc | 6103220330 | 208 |
| 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 |