Asad Ansari, MD in South Bend, IN

Asad Ansari, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in South Bend, Indiana. His current practice location is 100 Navarre Pl Ste 5550, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-2550.

Asad Ansari is licensed to practice in Indiana (license number 01065535A) 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 1053387175.

Contact Information

	Asad Ansari, MD
	100 Navarre Pl Ste 5550, South Bend, IN 46601-1169
	(574) 647-2550
	(574) 647-1129

Map and Direction

Physician's Profile

Full Name	Asad Ansari
Gender	Male
Speciality	Pediatrics - Pediatric Pulmonology
Location	100 Navarre Pl Ste 5550, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053387175
Provider Enumeration Date: 02/28/2006
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 0143275156
Enrollment ID: I20090305000662

Medical Identifiers

Medical identifiers for Asad Ansari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053387175	NPI	-	NPPES
200928890	Medicaid	IN
1053387175	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0208X	Pediatrics - Pediatric Infectious Diseases	01065535A (Indiana)	Secondary
2080P0214X	Pediatrics - Pediatric Pulmonology	4301506067 (Michigan)	Secondary
2080S0012X	Pediatrics - Sleep Medicine	4301506067 (Michigan)	Secondary
2080S0012X	Pediatrics - Sleep Medicine	01065535A (Indiana)	Secondary
2080P0214X	Pediatrics - Pediatric Pulmonology	01065535A (Indiana)	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. Asad Ansari allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Asad Ansari 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
Asad Ansari, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-1840	Asad Ansari, MD 100 Navarre Pl Ste 5550, South Bend, IN 46601-1169 Ph: (574) 647-2550

Reviews and Comments

Pediatrics Doctors in South Bend, IN

Angela C Herman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 4th Fl, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895
Megan Elizabeth Conway, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696
Dr. Lori A Wykoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Ruchita Kachru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-291-3351
Dr. Robert Dennis White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7351 Fax: 574-647-7248
Hari Rasad Gourabathini, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696

Asad Ansari, MD - Medicare Pediatrics in South Bend, IN