Deepak Mitra, MD in Mchenry, IL - Medicare Internal Medicine

Deepak Mitra, MD is a medicare enrolled "Internal Medicine" physician in Mchenry, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Advocate Health And Hospitals Corporation and his current practice location is 633 Ridgeview Dr, Mchenry, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 344-2760.

Deepak Mitra is licensed to practice in Illinois (license number 036-122249) 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 1114068467.

Contact Information

	Deepak Mitra, MD
	633 Ridgeview Dr, Mchenry, IL 60050-7012
	(815) 344-2760
	(815) 344-0664

Map and Direction

Physician's Profile

Full Name	Deepak Mitra
Gender	Male
Speciality	Internal Medicine
Experience	19 Years
Location	633 Ridgeview Dr, Mchenry, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Deepak Mitra graduated from medical school in 2005

NPI Data:

NPI Number: 1114068467
Provider Enumeration Date: 02/09/2007
Last Update Date: 04/19/2022

Medicare PECOS Information:

PECOS PAC ID: 0941391841
Enrollment ID: I20090114000311

Medical Identifiers

Medical identifiers for Deepak Mitra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114068467	NPI	-	NPPES
552920000	Medicaid	MN
MITRADEE	Other	WI	MERCYCARE INSURANCE
P00684628CG6042	Other	IL	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	49813 (Minnesota)	Secondary
207R00000X	Internal Medicine	036-122249 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Home Health Care Serv	Lombard, IL	Home health agency
Advocate Good Shepherd Hospital	Barrington, IL	Hospital
Northwestern Medicine Mchenry Hospital	Mchenry, IL	Hospital
Central Dupage Hospital	Winfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advocate Health And Hospitals Corporation	7810800935	2484

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. Deepak Mitra allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Deepak Mitra 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
Deepak Mitra, MD 633 Ridgeview Dr, Mchenry, IL 60050-7012 Ph: (815) 344-2760	Deepak Mitra, MD 633 Ridgeview Dr, Mchenry, IL 60050-7012 Ph: (815) 344-2760

Reviews and Comments

Internal Medicine Doctors in Mchenry, IL

Pakhadi H Buddhadev, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr Dept Of, Mchenry, IL 60050 Phone: 815-759-4323 Fax: 815-759-4948
Dr. Prashant Sura, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A102, Mchenry, IL 60050 Phone: 815-338-6600
Dr. Cory Edward Mellon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4323 Fax: 815-759-4948
Thiago Gagliano Juca Domingues De Oliveira, MD, PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-338-6600
Parmod Narang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4318 W Crystal Lake Rd, Ste J Drs Narang And Associates Ltd, Mchenry, IL 60050 Phone: 815-344-1500 Fax: 815-344-3685
Dr. Shaji Mariyam Baig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A102, Mchenry, IL 60050 Phone: 815-759-4323
Vishal Garimella, M.B.B.S. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4201 Medical Center Drive, Mchenry, IL 60050 Phone: 815-344-5000

Deepak Mitra, MD - Medicare Internal Medicine in Mchenry, IL