Mimi T Van, DO in Albuquerque, NM - Medicare Gastroenterology

Mimi T Van, DO is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Albuquerque, New Mexico. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2014 and has 10 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice District Medical Group Inc and her current practice location is 4705 Montgomery Blvd Ne Ste 201, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 727-7833.

Mimi T Van is licensed to practice in New Mexico (license number DO2023-1014) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801298294.

Contact Information

	Mimi T Van, DO
	4705 Montgomery Blvd Ne Ste 201, Albuquerque, NM 87109-1233
	(505) 727-7833
	(505) 727-9590

Map and Direction

Physician's Profile

Full Name	Mimi T Van
Gender	Female
Speciality	Gastroenterology
Experience	10 Years
Location	4705 Montgomery Blvd Ne Ste 201, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mimi T Van attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2014

NPI Data:

NPI Number: 1801298294
Provider Enumeration Date: 09/17/2014
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 0244528024
Enrollment ID: I20200513001155

Medical Identifiers

Medical identifiers for Mimi T Van such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801298294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	OS13825 (Florida)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	7793 (Arizona)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	DO2023-1014 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St. Mary's Hospital	Tucson, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
District Medical Group Inc	7315086691	362

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. Mimi T Van allows following entities to bill medicare on her behalf.

Entity Name	Reddy Gi Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194957241 PECOS PAC ID: 1557407459 Enrollment ID: O20091007000333

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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. Mimi T Van 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
Mimi T Van, DO 5555 E Baseline Rd, Mesa, AZ 85206-4709 Ph: (480) 393-0575	Mimi T Van, DO 4705 Montgomery Blvd Ne Ste 201, Albuquerque, NM 87109-1233 Ph: (505) 727-7833

Reviews and Comments

Internal Medicine Doctors in Albuquerque, NM

Dr. Alberto Aguayo Rico, M.D, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 401 San Mateo Blvd Se, Albuquerque, NM 87108 Phone: 505-462-7333 Fax: 505-462-7440
Peter Guido, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 Phone: 505-872-6000 Fax: 505-872-6003
Kenneth A Bell, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2901 Transport St Se, Albuquerque, NM 87106 Phone: 505-262-7110 Fax: 505-262-7308
Joseph F. Oser, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711
Dr. Stanley Zissman Berman, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7416 Vista Del Arroyo Ave Ne, Albuquerque, NM 87109 Phone: 505-884-7270
Huyentrang Vu, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: Unm Hospital Internal Medicine, 2211 Lomas Blvd Ne, Albuquerque, NM 87131 Phone: 505-272-6225
Tamara Goodman, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 4901 Lang Ave Ne, Albuquerque, NM 87109 Phone: 505-842-8171

Mimi T Van, DO - Medicare Gastroenterology in Albuquerque, NM