Mitali A Pakvasa, in Columbus, OH

Mitali A Pakvasa, is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Columbus, Ohio. Her current practice location is 111 S Grant Ave, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 566-9000.

Mitali A Pakvasa is licensed to practice in Ohio (license number 35.138675) 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 1235453994.

Contact Information

	Mitali A Pakvasa,
	111 S Grant Ave, Columbus, OH 43215-4701
	(614) 566-9000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mitali A Pakvasa
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	111 S Grant Ave, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235453994
Provider Enumeration Date: 03/23/2010
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3375826688
Enrollment ID: I20170213000556

Medical Identifiers

Medical identifiers for Mitali A Pakvasa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235453994	NPI	-	NPPES
0400911	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	35.138675 (Ohio)	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. Mitali A Pakvasa allows following entities to bill medicare on her behalf.

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

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. Mitali A Pakvasa 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
Mitali A Pakvasa, 285 E State Street, Columbus, OH 43215-4354 Ph: (614) 566-9683	Mitali A Pakvasa, 111 S Grant Ave, Columbus, OH 43215-4701 Ph: (614) 566-9000

Reviews and Comments

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Mitali A Pakvasa, - Medicare Pediatrics in Columbus, OH