Mr Prodyot Kumar Mitra, MD in Mchenry, IL

Mr Prodyot Kumar Mitra, MD is a medicare enrolled "Surgery" physician in Mchenry, Illinois. His current practice location is 633 Ridgeview Drive, Mchenry, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 344-0621.

Mr Prodyot Kumar Mitra is licensed to practice in Illinois (license number 036052608) 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 1699841247.

Contact Information

	Mr Prodyot Kumar Mitra, MD
	633 Ridgeview Drive, Mchenry, IL 60050-7012
	(815) 344-0621
	(815) 344-0664

Map and Direction

Physician's Profile

Full Name	Mr Prodyot Kumar Mitra
Gender	Male
Speciality	Surgery
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: 1699841247
Provider Enumeration Date: 11/27/2006
Last Update Date: 05/08/2008

Medicare PECOS Information:

PECOS PAC ID: 2163439639
Enrollment ID: I20060309000016

Medical Identifiers

Medical identifiers for Mr Prodyot Kumar Mitra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699841247	NPI	-	NPPES
024000852	Other	IL	RAILROAD MEDICARE
05600205	Other	IL	BLUE CROSS BLUE SHIELD
5432896	Other	IL	CIGNA
0360526081	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036052608 (Illinois)	Primary

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. Mr Prodyot Kumar 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
Mr Prodyot Kumar Mitra, MD 633 Ridgeview Drive, Mchenry, IL 60050-7012 Ph: (815) 344-0621	Mr Prodyot Kumar Mitra, MD 633 Ridgeview Drive, Mchenry, IL 60050-7012 Ph: (815) 344-0621

Reviews and Comments

Surgery Doctors in Mchenry, IL

Dr. Keilla Amorim Schmidt, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4530 Fax: 815-759-8053
Dr. Basudeb Saha, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4318 L Crystal Lake Rd, Mchenry, IL 60050 Phone: 815-344-0620 Fax: 815-344-0504
Eugene Lee, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789
Dr. Alexandra B. Roginsky Tsesis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789
Mr. G Hossein M Riahi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4309 Medical Center Dr, Suite B205, Mchenry, IL 60050 Phone: 814-385-1950 Fax: 815-385-1073
Steven S Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789
Yuriy O Moklyak, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789

Mr Prodyot Kumar Mitra, MD - Medicare Surgery in Mchenry, IL