Vinod Bansal, MD | |
201 Pine St Nw, Hartselle, AL 35640-2309 | |
(904) 805-1300 | |
(904) 805-1302 |
Full Name | Vinod Bansal |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 201 Pine St Nw, Hartselle, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124074547 | NPI | - | NPPES |
51509041 | Other | AL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 17788 (Alabama) | Primary |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
Entity Name | App Of Alabama Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
Entity Name | Alabama Emergency Physician Partners, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891031894 PECOS PAC ID: 4082868641 Enrollment ID: O20130206000466 |
Mailing Address | Practice Location Address |
---|---|
Vinod Bansal, MD Po Box 863535, Orlando, FL 32886-3535 Ph: (904) 805-1300 | Vinod Bansal, MD 201 Pine St Nw, Hartselle, AL 35640-2309 Ph: (904) 805-1300 |
Susan Kathleen Copley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Pine St Nw, Hartselle, AL 35640 Phone: 904-805-1300 Fax: 904-805-1302 |