Ram K Mittal, MD is a medicare enrolled "Surgery" physician in South Milwaukee, Wisconsin. His current practice location is
100 15th Avenue, Suit 170, South Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 762-3910.
Ram K Mittal is licensed to practice in Wisconsin (license number 20701) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134296718.
Physician's Profile
Full Name | Ram K Mittal |
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Gender | Male |
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Speciality | Surgery |
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Location | 100 15th Avenue, South Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134296718
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 11/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 1153399274
- Enrollment ID: I20040917000017
Medical Identifiers
Medical identifiers for Ram K Mittal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134296718 | NPI | - | NPPES |
30152400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 20701 (Wisconsin) | 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. Ram K Mittal allows following entities to bill medicare on his behalf.
Entity Name | Azh Vascular Center Mke Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508312570 PECOS PAC ID: 3072892710 Enrollment ID: O20161121000201 |
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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. Ram K Mittal 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 |
Ram K Mittal, MD Po Box 935, Hales Corners, WI 53130-0935 Ph: (414) 762-3910 | Ram K Mittal, MD 100 15th Avenue, Suit 170, South Milwaukee, WI 53172 Ph: (414) 762-3910 |
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