Mitul R Patel, MD | |
250 Patchogue Yaphank Rd, Suites # 7, East Patchogue, NY 11772-4800 | |
(631) 289-0900 | |
(631) 569-4909 |
Full Name | Mitul R Patel |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 250 Patchogue Yaphank Rd, East Patchogue, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285615120 | NPI | - | NPPES |
67712 | Other | NY | VYTRA HEALTH ID NO. |
004AF3 | Other | NY | EMPIRE BLUE CROSS ID |
2046588 | Other | NY | AETNA PROVIDER NUMBER |
P452012 | Other | NY | OXFORD HEALTH ID NO. |
P00214307 | Other | NY | RR MEDICARE ID NO. |
01849976 | Medicaid | NY | |
018499760 | Medicaid | NY | |
100693 | Other | NY | HIP HEALTH PLAN ID NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 203391 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home (hauppauge) | Hauppauge, NY | Home health agency |
Tender Loving Care, An Amedisys Company | Medford, NY | Home health agency |
John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
Brookhaven Health Care Facility L L C | East patchogue, NY | Nursing home |
Waters Edge At Port Jefferson For Rehab And Nrsg | Port jefferson, NY | Nursing home |
Entity Name | Mitul R. Patel M.d. P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245521673 PECOS PAC ID: 3870762131 Enrollment ID: O20110803000508 |
Mailing Address | Practice Location Address |
---|---|
Mitul R Patel, MD 250 Patchogue Yaphank Rd, Suites # 7, East Patchogue, NY 11772-4800 Ph: (631) 289-0900 | Mitul R Patel, MD 250 Patchogue Yaphank Rd, Suites # 7, East Patchogue, NY 11772-4800 Ph: (631) 289-0900 |