Dr Prem P Mittar, MD is a medicare enrolled "Internal Medicine" physician in Perrypoint, Maryland. His current practice location is
Va.medical Center, Circle Drive, Perrypoint, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 642-2411.
Dr Prem P Mittar is licensed to practice in Maryland (license number D0043825) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396709333.
Physician's Profile
Full Name | Dr Prem P Mittar |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | Va.medical Center, Perrypoint, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396709333
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507048246
- Enrollment ID: I20110316000834
Medical Identifiers
Medical identifiers for Dr Prem P Mittar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396709333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | D0043825 (Maryland) | 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 Prem P Mittar allows following entities to bill medicare on his behalf.
Entity Name | Priyallc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396929931 PECOS PAC ID: 1153590245 Enrollment ID: O20110805000549 |
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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 Prem P Mittar 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 Prem P Mittar, MD 3202 Glouchester Dr, Fallston, MD 21047-1245 Ph: (410) 642-2411 | Dr Prem P Mittar, MD Va.medical Center, Circle Drive, Perrypoint, MD 21902 Ph: (410) 642-2411 |
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