Bryan Michael Mistretta, DO is a medicare enrolled "Colon & Rectal Surgery" physician in Springfield, Illinois. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2020 and has 6 years of diverse experience with area of expertise as General Surgery. His current practice location is
315 W Carpenter St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 545-8000.
Bryan Michael Mistretta is licensed to practice in Illinois (license number 036174964) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1932722006.
Physician's Profile
| Full Name | Bryan Michael Mistretta |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 6 Years |
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| Location | 315 W Carpenter St, Springfield, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Bryan Michael Mistretta attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2020
NPI Data:
- NPI Number: 1932722006
- Provider Enumeration Date: 05/25/2020
- Last Update Date: 08/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 3072936624
- Enrollment ID: I20260810003422
Medical Identifiers
Medical identifiers for Bryan Michael Mistretta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932722006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 125076122 (Illinois) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 036174964 (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. Bryan Michael Mistretta 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 |
Bryan Michael Mistretta, DO Po Box 19638, Springfield, IL 62794-9638 Ph: Not Available | Bryan Michael Mistretta, DO 315 W Carpenter St, Springfield, IL 62702-4901 Ph: (217) 545-8000 |
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