Dr Mitali Mitra, MD in Santa Ana, CA

Dr Mitali Mitra, MD is a medicare enrolled "Pediatrics" physician in Santa Ana, California. Her current practice location is 1629 W 17th St, Suite B, Santa Ana, California. You can reach out to her office (for appointments etc.) via phone at (714) 647-1300.

Dr Mitali Mitra is licensed to practice in California (license number C54133) 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 1598049702.

Contact Information

	Dr Mitali Mitra, MD
	1629 W 17th St, Suite B, Santa Ana, CA 92706-3335
	(714) 647-1300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mitali Mitra
Gender	Female
Speciality	Pediatrics
Location	1629 W 17th St, Santa Ana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598049702
Provider Enumeration Date: 10/06/2011
Last Update Date: 01/01/2014

Medicare PECOS Information:

PECOS PAC ID: 4284905530
Enrollment ID: I20170803003568

Medical Identifiers

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

Identifier	Type	State	Issuer
1598049702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	C54133 (California)	Primary

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 Mitali Mitra allows following entities to bill medicare on her behalf.

Entity Name	East Valley Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831243625 PECOS PAC ID: 9234041765 Enrollment ID: O20050425000560

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 Mitali 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
Dr Mitali Mitra, MD 1629 W 17th St, Suite B, Santa Ana, CA 92706-3335 Ph: (714) 647-1300	Dr Mitali Mitra, MD 1629 W 17th St, Suite B, Santa Ana, CA 92706-3335 Ph: (714) 647-1300

Reviews and Comments

Pediatrics Doctors in Santa Ana, CA

Dr. Kasin Ekmaha Chai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1212 S Bristol St, Suite 16, Santa Ana, CA 92704 Phone: 714-966-0646 Fax: 714-966-2438
Scott R. Harrison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 N Tustin Ave, Santa Ana, CA 92705 Phone: 714-953-9100
Jose Raymundo Lopez-lizarraga, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Redhill Ave Ste 100, Santa Ana, CA 92705 Phone: 888-962-5437
Dr. Peter J. Chung, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2500 Redhill Ave Ste 100, Santa Ana, CA 92705 Phone: 949-267-0400 Fax: 949-221-0004
John L Winkelman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2212 E 4th St, Santa Ana, CA 92705 Phone: 714-288-3230
Mr. Alberto Gedissman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1515 S Broadway, Suite A, Santa Ana, CA 92707 Phone: 714-919-0280 Fax: 714-288-8970
Dr. Naho Taguchi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2212 E 4th St Ste 201, Santa Ana, CA 92705 Phone: 714-288-3230

Dr Mitali Mitra, MD - Medicare Pediatrics in Santa Ana, CA