Mittal Patel, APN is a medicare enrolled "Allergy & Immunology" in Belleville, New Jersey. Her current practice location is
5 Franklin Ave, Belleville, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 240-9089.
Mittal Patel is licensed to practice in New Jersey (license number 26NJ00776600) 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 1093229619.
Provider's Profile
| Full Name | Mittal Patel |
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| Gender | Female |
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| Speciality | Allergy & Immunology |
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| Location | 5 Franklin Ave, Belleville, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093229619
- Provider Enumeration Date: 11/17/2017
- Last Update Date: 03/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850673591
- Enrollment ID: I20190510001496
Medical Identifiers
Medical identifiers for Mittal Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093229619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 26NJ00776600 (New Jersey) | Secondary |
| 207K00000X | Allergy & Immunology | 26NJ00776600 (New Jersey) | 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. Mittal Patel allows following entities to bill medicare on her behalf.
| Entity Name | Optum Medical Care Of New Jersey Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129 |
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| Entity Name | Hudson-essex Allergy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770970428
PECOS PAC ID: 7416262225
Enrollment ID: O20150821013887 |
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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. Mittal Patel 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 |
|---|
Mittal Patel, APN
33 Hudson St,
Jersey City, NJ 07302-6575
Ph: (012) 434-7182 | Mittal Patel, APN
5 Franklin Ave,
Belleville, NJ 07109
Ph: (973) 240-9089 |
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