Dr Shelly Bansal, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Saint Joseph, Missouri. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Thoracic Surgery. She is a member of the group practice Kaweah Delta Health Care District and her current practice location is
802 N Riverside Rd Ste 210, Saint Joseph, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 271-6200.
Dr Shelly Bansal is licensed to practice in Ohio (license number 35.096003) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174793111.
Physician's Profile
| Full Name | Dr Shelly Bansal |
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| Gender | Female |
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| Speciality | Thoracic Surgery |
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| Experience | 21 Years |
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| Location | 802 N Riverside Rd Ste 210, Saint Joseph, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shelly Bansal graduated from medical school in 2004
NPI Data:
- NPI Number: 1174793111
- Provider Enumeration Date: 03/05/2008
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688801806
- Enrollment ID: I20250430000091
Medical Identifiers
Medical identifiers for Dr Shelly Bansal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174793111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2022044341 (Missouri) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35.096003 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kaweah Delta Health Care District | 6608778790 | 72 |
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. Dr Shelly Bansal allows following entities to bill medicare on her behalf.
| Entity Name | Kaweah Delta Health Care District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326704529
PECOS PAC ID: 6608778790
Enrollment ID: O20110914000795 |
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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. Dr Shelly Bansal 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 |
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Dr Shelly Bansal, MD
445 N Silverbell Rd Ste 201,
Tucson, AZ 85745-2686
Ph: (520) 396-1370 | Dr Shelly Bansal, MD
802 N Riverside Rd Ste 210,
Saint Joseph, MO 64507-2509
Ph: (816) 271-6200 |
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