Dr Sudeep Bansal, MD - Medicare Internal Medicine in Glastonbury, CT

Dr Sudeep Bansal, MD is a medicare enrolled "Internal Medicine" physician in Glastonbury, Connecticut. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Avanta Clinic Llc and his current practice location is 131 New London Tpke Ste 105, Glastonbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 430-5599.

Dr Sudeep Bansal is licensed to practice in Connecticut (license number 047284) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346437233.

Contact Information

Dr Sudeep Bansal, MD
131 New London Tpke Ste 105,
Glastonbury, CT 06033
(860) 430-5599
Not Available



Physician's Profile

Full NameDr Sudeep Bansal
GenderMale
SpecialityInternal Medicine
Experience20 Years
Location131 New London Tpke Ste 105, Glastonbury, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sudeep Bansal graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1346437233
  • Provider Enumeration Date: 09/25/2007
  • Last Update Date: 08/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5698829570
  • Enrollment ID: I20090811000582

Medical Identifiers

Medical identifiers for Dr Sudeep Bansal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346437233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 047284 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avanta Clinic Llc99314568942

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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. Dr Sudeep Bansal allows following entities to bill medicare on his behalf.
Entity NameAvanta Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619467826
PECOS PAC ID: 9931456894
Enrollment ID: O20180724000695

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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 Sudeep 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 AddressPractice Location Address
Dr Sudeep Bansal, MD
131 New London Tpke Ste 105,
Glastonbury, CT 06033-2246

Ph: (860) 430-5599
Dr Sudeep Bansal, MD
131 New London Tpke Ste 105,
Glastonbury, CT 06033

Ph: (860) 430-5599

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Internal Medicine Doctors in Glastonbury, CT

Dr. Shishir Mathur, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27 Sycamore St Ste 400, Glastonbury, CT 06033
Phone: 860-633-0500    Fax: 860-633-5250
Ralph Peter Stocker, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 195 Eastern Blvd, # 201, Glastonbury, CT 06033
Phone: 860-246-4260    Fax: 860-430-9770
Dr. Abhishek Kumar, M.D
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 628 Hebron Ave Ste 300, Glastonbury, CT 06033
Phone: 230-518-3004    
Dr. Kenneth Abriola, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 Hebron Ave Ste 113, Glastonbury, CT 06033
Phone: 860-657-0764    
Thomas Freund, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27 Sycamore St, Suite 400, Glastonbury, CT 06033
Phone: 860-633-0500    Fax: 860-633-5250
William Preskenis, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27 Sycamore St, Ste 100, Prime Healthcare, Glastonbury, CT 06033
Phone: 860-659-0581    Fax: 860-652-3077
Anthony F Lasala, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 703 Hebron Ave, Glastonbury, CT 06033
Phone: 860-659-8830    Fax: 860-633-8529

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