Dr Divi Mittal, in Peabody, MA - Medicare Dentist Provider

Dr Divi Mittal, is a medicare enrolled "Dentist - General Practice" provider in Peabody, Massachusetts. Her current practice location is 1 Main St, Peabody, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 238-0309.

Dr Divi Mittal is licensed to practice in Connecticut (license number 13018) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093356867.

Contact Information

	Dr Divi Mittal,
	1 Main St, Peabody, MA 01960-5509
	(978) 238-0309
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Divi Mittal
Gender	Female
Speciality	Dentist - General Practice
Location	1 Main St, Peabody, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093356867
Provider Enumeration Date: 10/03/2019
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 8921484221
Enrollment ID: I20221010001258

Medical Identifiers

Medical identifiers for Dr Divi Mittal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093356867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	39373 (Texas)	Secondary
1223G0001X	Dentist - General Practice	DN1858489 (Massachusetts)	Secondary
1223G0001X	Dentist - General Practice	13018 (Connecticut)	Primary

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 Divi Mittal 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
Dr Divi Mittal, 449 Canal St Apt 902, Somerville, MA 02145-4371 Ph: (617) 803-0443	Dr Divi Mittal, 1 Main St, Peabody, MA 01960-5509 Ph: (978) 238-0309

Reviews and Comments

Dentist in Peabody, MA

Federico Fabian Lago, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Roosevelt Ave, Peabody, MA 01960 Phone: 978-535-2500
Dr. Peter N Hjorth, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6 Essex Center Dr, Unit #210, Peabody, MA 01960 Phone: 978-531-3010 Fax: 978-977-9828
Dr. Micheline D. Moini, DMD Dentist Medicare: Medicare Enrolled Practice Location: 215 Newbury St Ste 201, Peabody, MA 01960 Phone: 978-224-8895
Paul Talkov, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6 Essex Center Dr, 110, Peabody, MA 01960 Phone: 978-532-0500 Fax: 978-977-3458
Dr. Peter A Morgan, DMD,MSCD Dentist Medicare: Medicare Enrolled Practice Location: 6 Essex Center Dr, 110, Peabody, MA 01960 Phone: 978-532-0500 Fax: 978-977-3458
Dr. Jennifer Lee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 215 Newbury St, Suite 201, Peabody, MA 01960 Phone: 978-535-3800 Fax: 978-535-1718

Dr Divi Mittal, - Medicare Dentist in Peabody, MA