Mrs Sanjukta Mitra, MD in Mchenry, IL - Medicare Internal Medicine

Mrs Sanjukta Mitra, MD is a medicare enrolled "Internal Medicine" physician in Mchenry, Illinois. Her current practice location is 633 Ridgeview Drive, Mchenry, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 344-0621.

Mrs Sanjukta Mitra is licensed to practice in Illinois (license number 036062584) 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 1255407805.

Contact Information

	Mrs Sanjukta Mitra, MD
	633 Ridgeview Drive, Mchenry, IL 60050-7012
	(815) 344-0621
	(815) 344-0664

Map and Direction

Physician's Profile

Full Name	Mrs Sanjukta Mitra
Gender	Female
Speciality	Internal Medicine
Location	633 Ridgeview Drive, Mchenry, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255407805
Provider Enumeration Date: 11/27/2006
Last Update Date: 05/08/2008

Medicare PECOS Information:

PECOS PAC ID: 0244247716
Enrollment ID: I20060309000020

Medical Identifiers

Medical identifiers for Mrs Sanjukta Mitra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255407805	NPI	-	NPPES
05600261	Other	IL	BLUE CROSS BLUE SHIELD
P00082299	Other	IL	RAILROAD MEDICARE
0360625841	Medicaid	IL
0584515	Other	IL	AETNA
0110312	Other	IL	CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036062584 (Illinois)	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. Mrs Sanjukta Mitra allows following entities to bill medicare on her behalf.

Entity Name	Prodyot K Mitra
Entity Type	Practitioner - General Surgery
Entity Identifiers	NPI Number: 1699841247 PECOS PAC ID: 2163439639 Enrollment ID: I20060309000016

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Mrs Sanjukta Mitra 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
Mrs Sanjukta Mitra, MD 633 Ridgeview Drive, Mchenry, IL 60050-7012 Ph: (815) 344-0621	Mrs Sanjukta Mitra, MD 633 Ridgeview Drive, Mchenry, IL 60050-7012 Ph: (815) 344-0621

Reviews and Comments

Internal Medicine Doctors in Mchenry, IL

Pakhadi H Buddhadev, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr Dept Of, Mchenry, IL 60050 Phone: 815-759-4323 Fax: 815-759-4948
Dr. Prashant Sura, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A102, Mchenry, IL 60050 Phone: 815-338-6600
Dr. Cory Edward Mellon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4323 Fax: 815-759-4948
Thiago Gagliano Juca Domingues De Oliveira, MD, PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-338-6600
Parmod Narang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4318 W Crystal Lake Rd, Ste J Drs Narang And Associates Ltd, Mchenry, IL 60050 Phone: 815-344-1500 Fax: 815-344-3685
Dr. Shaji Mariyam Baig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A102, Mchenry, IL 60050 Phone: 815-759-4323
Vishal Garimella, M.B.B.S. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4201 Medical Center Drive, Mchenry, IL 60050 Phone: 815-344-5000

Mrs Sanjukta Mitra, MD - Medicare Internal Medicine in Mchenry, IL