Gaurav Mitra, in Imlay City, MI - Medicare Physical Therapist Provider

Gaurav Mitra, is a medicare enrolled "Physical Therapist" provider in Imlay City, Michigan. His current practice location is 1769 S Cedar St, Imlay City, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 724-0421.

Gaurav Mitra is licensed to practice in Michigan (license number 5501013172) 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 1104078443.

Contact Information

	Gaurav Mitra,
	1769 S Cedar St, Imlay City, MI 48444-1300
	(810) 724-0421
	(810) 721-0423

Map and Direction

Healthcare Provider's Profile

Full Name	Gaurav Mitra
Gender	Male
Speciality	Physical Therapist
Location	1769 S Cedar St, Imlay City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104078443
Provider Enumeration Date: 10/17/2008
Last Update Date: 03/24/2009

Medicare PECOS Information:

PECOS PAC ID: 9537216213
Enrollment ID: I20090415000479

Medical Identifiers

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

Identifier	Type	State	Issuer
1104078443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501013172 (Michigan)	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. Gaurav Mitra allows following entities to bill medicare on his behalf.

Provider Name	Michigan Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003448994 PECOS PAC ID: 9032549217 Enrollment ID: O20200501000804

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. Gaurav 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
Gaurav Mitra, 1769 S Cedar St, Imlay City, MI 48444-1300 Ph: (810) 724-0421	Gaurav Mitra, 1769 S Cedar St, Imlay City, MI 48444-1300 Ph: (810) 724-0421

Reviews and Comments

Physical Therapist in Imlay City, MI

Laura A Ellis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1769 S Cedar, Imlay City, MI 48444 Phone: 810-724-0421 Fax: 810-721-0423
Thibodeau Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1808 S Cedar St, Imlay City, MI 48444 Phone: 810-721-0421 Fax: 810-721-0423
Mrs. Rachelle Leigh Baier, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1769 S Cedar St, Imlay City, MI 48444 Phone: 810-724-0421 Fax: 810-721-0423
Smith Physical Therapy And Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7516 Country Pride Ln, Imlay City, MI 48444 Phone: 989-390-1825
Bonnie Maas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1769 S Cedar St, Imlay City, MI 48444 Phone: 810-724-0421 Fax: 810-721-0423
Vinita D Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 Newark Rd, Suite 200, Imlay City, MI 48444 Phone: 810-721-8700 Fax: 810-721-8715

Gaurav Mitra, - Medicare Physical Therapist in Imlay City, MI