Banu Sundar, MD, is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Worceter, Massachusetts. Her current practice location is
55 Lake Avenue North, Worceter, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 856-2527.
Banu Sundar is licensed to practice in Connecticut (license number 60390) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518932524.
Physician's Profile
Full Name | Banu Sundar |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Neurology |
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Location | 55 Lake Avenue North, Worceter, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518932524
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 02/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 5294751582
- Enrollment ID: I20190222000239
Medical Identifiers
Medical identifiers for Banu Sundar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518932524 | NPI | - | NPPES |
2109522 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 60390 (Connecticut) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | 206124 (Massachusetts) | Secondary |
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. Banu Sundar allows following entities to bill medicare on her behalf.
Entity Name | University Of Connecticut Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
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Entity Name | Day Kimball Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091 |
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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. Banu Sundar 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 |
Banu Sundar, MD, Po Box 415348, Boston, MA 02241-5348 Ph: () - | Banu Sundar, MD, 55 Lake Avenue North, Worceter, MA 01655-2029 Ph: (508) 856-2527 |
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