Shalender Mittal, MD is a medicare enrolled "Internal Medicine" physician in Blytheville, Arkansas. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
519 N 6th St, Blytheville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 762-5800.
Shalender Mittal is licensed to practice in Arkansas (license number E2710) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447209606.
Physician's Profile
Full Name | Shalender Mittal |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 30 Years |
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Location | 519 N 6th St, Blytheville, Arkansas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shalender Mittal graduated from medical school in 1994
NPI Data:
- NPI Number: 1447209606
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264443365
- Enrollment ID: I20060606000134
Medical Identifiers
Medical identifiers for Shalender Mittal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447209606 | NPI | - | NPPES |
5F529 | Other | AR | BLUE CROSS |
P00326909 | Other | AR | RAILROAD MEDICARE |
DE9450 | Other | AR | RAILROAD MEDICARE |
141358001 | Medicaid | AR | |
161250002 | Medicaid | AR | |
9360340 | Other | AR | PHCS |
19103000000 | Other | AR | QUALCHOICE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | E2710 (Arkansas) | Primary |
Medical Facilities Affiliation
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. Shalender Mittal allows following entities to bill medicare on his behalf.
Entity Name | Adult Medicine Clinic Of Blytheville, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528017761 PECOS PAC ID: 9931118650 Enrollment ID: O20060602000157 |
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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. Shalender 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 |
Shalender Mittal, MD Po Box 405, Blytheville, AR 72316-0405 Ph: (870) 762-5800 | Shalender Mittal, MD 519 N 6th St, Blytheville, AR 72315-2407 Ph: (870) 762-5800 |
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