Itisha Bansal, | |
2800 Main St, Gme Office, Bridgeport, CT 06606 | |
(203) 576-5425 | |
Not Available |
Full Name | Itisha Bansal |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 2800 Main St, Bridgeport, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598185175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 291299 (New York) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bassett Healthcare | Cooperstown, NY | Hospital |
Little Falls Hospital | Little falls, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bassett Healthcare | 3779488325 | 676 |
Entity Name | Mary Imogene Bassett Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
Entity Name | Mary Imogene Bassett Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
Mailing Address | Practice Location Address |
---|---|
Itisha Bansal, 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3153 | Itisha Bansal, 2800 Main St, Gme Office, Bridgeport, CT 06606 Ph: (203) 576-5425 |
Marissa Rubin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Jairo Castillo, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport Anesthesia Associates, P.c., Bridgeport, CT 06610 Phone: 203-384-3000 | |
Martin Rosenblum, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport Anesthesia Associates, P.c., Bridgeport, CT 06610 Phone: 203-384-3072 | |
Artem Emple, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Dr. Anthony Peluso, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport Anesthesia Associates, Pc, Bridgeport, CT 06610 Phone: 203-384-3000 | |
William Hatton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756 | |
Patrick A Tennant, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4920 Main St, 200, Bridgeport, CT 06606 Phone: 203-374-1515 Fax: 203-374-4702 |