| Amit Mittal, MD | |
|
15655 37th Ave N Ste 100, Plymouth, MN 55446-4003 | |
| (630) 632-2648 | |
| (612) 230-8769 |
| Full Name | Amit Mittal |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 15655 37th Ave N Ste 100, Plymouth, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679064851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 66152 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mittal Dermatology, Pa | 5193194728 | 3 |
| Mittal Dermatology, Pa | 5193194728 | 3 |
| Entity Name | Mittal Dermatology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043947286 PECOS PAC ID: 5193194728 Enrollment ID: O20230227000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Amit Mittal, MD 15655 37th Ave N Ste 100, Plymouth, MN 55446-4003 Ph: (630) 632-2648 | Amit Mittal, MD 15655 37th Ave N Ste 100, Plymouth, MN 55446-4003 Ph: (630) 632-2648 |
Ms. Kimberly Jo Sedbrook, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2 Carlson Pkwy N Ste 100, Plymouth, MN 55447 Phone: 952-473-1286 Fax: 952-473-7281 | |
Adam Schmitt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 Phone: 763-367-7108 | |
Dr. H Spencer Holmes, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1295 Walnut Grove Ln N, Plymouth, MN 55447 Phone: 952-237-4147 Fax: 952-993-0333 | |
Edward William Seger Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2 Carlson Pkwy N Ste 100, Plymouth, MN 55447 Phone: 952-473-1286 | |
Rachel Lynn Stevens, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2 Carlson Pkwy N Ste 100, Plymouth, MN 55447 Phone: 952-473-1286 | |
Dr. Valda Noreen Kaye, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 9900 13th Avenue North, Suite 2a, Plymouth, MN 55441 Phone: 763-525-0363 Fax: 763-525-0369 |