Mitali Dave, MD in Bonita, CA - Medicare Endocrinology

Mitali Dave, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Bonita, California. She graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 3955 Bonita Rd, Bonita, California. You can reach out to her office (for appointments etc.) via phone at (877) 236-0333.

Mitali Dave is licensed to practice in California (license number A163384) 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 1063706307.

Contact Information

	Mitali Dave, MD
	3955 Bonita Rd, Bonita, CA 91902-1230
	(877) 236-0333
	Not Available

Map and Direction

Physician's Profile

Full Name	Mitali Dave
Gender	Female
Speciality	Endocrinology
Experience	15 Years
Location	3955 Bonita Rd, Bonita, California
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:

Mitali Dave graduated from medical school in 2010

NPI Data:

NPI Number: 1063706307
Provider Enumeration Date: 06/03/2011
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 7618278136
Enrollment ID: I20191021001781

Medical Identifiers

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

Identifier	Type	State	Issuer
1063706307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	28532 (Oklahoma)	Secondary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	A163384 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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 Dave allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196

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 Dave 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 Dave, MD 3955 Bonita Rd, Bonita, CA 91902-1230 Ph: () -	Mitali Dave, MD 3955 Bonita Rd, Bonita, CA 91902-1230 Ph: (877) 236-0333

Reviews and Comments

Internal Medicine Doctors in Bonita, CA

Nisha Kuruvadi, Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 4221 Colling Rd W, Bonita, CA 91902 Phone: 619-421-6667
Dr. Clint Hoangquocgia, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3955 Bonita Rd, Bonita, CA 91902 Phone: 619-528-6111
Dr. Francisca Lambert-fliszar, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 3955 Bonita Rd, Bonita, CA 91902 Phone: 833-574-2273
Dr. Brett Henry Holko, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3955 Bonita Rd, Bonita, CA 91902 Phone: 800-290-5000
Rosevelle Mcmillin, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3955 Bonita Rd, Bonita, CA 91902 Phone: 619-409-6212
Dr. Donald Arthur Sandweiss, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 314 Surrey Dr, Bonita, CA 91902 Phone: 619-479-6234

Mitali Dave, MD - Medicare Endocrinology in Bonita, CA