Bangalore S Vijayalakshmi, MD - Medicare Physical Medicine And Rehabilitation in Fargo, ND

Bangalore S Vijayalakshmi, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Fargo, North Dakota. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Innovis Health Llc, Pam Physician Enterprise and her current practice location is 1702 University Dr S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-3300.

Bangalore S Vijayalakshmi is licensed to practice in North Dakota (license number 9837) 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 1003843574.

Contact Information

Bangalore S Vijayalakshmi, MD
1702 University Dr S,
Fargo, ND 58103-4940
(701) 364-3300
(701) 364-8906



Physician's Profile

Full NameBangalore S Vijayalakshmi
GenderFemale
SpecialityPhysical Medicine And Rehabilitation
Experience29 Years
Location1702 University Dr S, Fargo, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bangalore S Vijayalakshmi graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1003843574
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 08/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0446217210
  • Enrollment ID: I20041213001025

Medical Identifiers

Medical identifiers for Bangalore S Vijayalakshmi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003843574NPI-NPPES
2265220OtherNDAMERICA'S PPO/ARAZ #
137123OtherNDUCARE #
DA9011042827OtherNDPREFERRED ONE #
HP48628OtherNDHEALTHPARTNERS #
25030OtherNDNDBS #
363627500MedicaidND
2300320OtherNDMEDICA #
927S3VIOtherNDMNBS #
13283MedicaidND
2300322OtherNDMEDICA #
38107OtherNDLHS #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 9837 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia HealthFargo, NDHospital
Essentia Health St Marys - Detroit LakesDetroit lakes, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155473
Pam Physician Enterprise125462858933

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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. Bangalore S Vijayalakshmi allows following entities to bill medicare on her behalf.
Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

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Entity NamePam Physician Enterprise
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962856161
PECOS PAC ID: 1254628589
Enrollment ID: O20210413000857

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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. Bangalore S Vijayalakshmi 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 AddressPractice Location Address
Bangalore S Vijayalakshmi, MD
Po Box 6001,
Fargo, ND 58108-6001

Ph: (701) 364-3300
Bangalore S Vijayalakshmi, MD
1702 University Dr S,
Fargo, ND 58103-4940

Ph: (701) 364-3300

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Physical Medicine & Rehabilitation Doctors in Fargo, ND

Marie L Brekken, PA-C
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1720 University Dr S, Fargo, ND 58103
Phone: 701-280-4375    Fax: 701-461-5764
Nina Magdalena Robinson,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Centennial Blvd, Fargo, ND 58102
Phone: 612-708-7434    
William N Klava, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-2203    Fax: 701-234-2899
Mr. Tom L Baumgartner Jr., MPT
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 4450 31st Ave S Ste 104, Fargo, ND 58104
Phone: 701-451-9417    Fax: 701-298-0066
Dennis G Sollom, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1702 University Dr S, Fargo, ND 58103
Phone: 701-364-3300    Fax: 701-364-8906
Dr. Kenny Chantasi, DO
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-2000    

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