| Dr Bahar Mittal, MD | |
|
85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
| (859) 912-7211 | |
| (859) 655-6674 |
| Full Name | Dr Bahar Mittal |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 85 N Grand Ave, Fort Thomas, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255482394 | NPI | - | NPPES |
| 000000363598 | Other | KY | BLUESHIELD NUMBER |
| P01459741 | Other | KY | RR MEDICARE |
| 64114523 | Medicaid | KY | |
| 0118432 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38913 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of The Bluegrass, Inc Dba Bluegrass Care N | Lexington, KY | Hospice |
| Hospice Care Of St Elizabeth Healthcare | Edgewood, KY | Hospice |
| Emerald Trace | Elsmere, KY | Nursing home |
| Coldspring Transitional Care Center | Cold spring, KY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Entity Name | Kidney Disease Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669676383 PECOS PAC ID: 4688767437 Enrollment ID: O20070910000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bahar Mittal, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 912-7211 | Dr Bahar Mittal, MD 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (859) 912-7211 |
Dr. Erek Steven Majka, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-301-4688 Fax: 859-301-2607 | |
Mara Tomaszewski, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 | |
Dr. William Lewis Stafford Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 |