Dr Dieudonne Mitial, MD, MHSA in Port St Lucie, FL

Dr Dieudonne Mitial, MD, MHSA is a medicare enrolled "General Practice" physician in Port St Lucie, Florida. His current practice location is 5323 Nw Aloha St, Port St Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at (773) 263-3424.

Dr Dieudonne Mitial is licensed to practice in Puerto Rico (license number 19073) 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 1750766465.

Contact Information

	Dr Dieudonne Mitial, MD, MHSA
	5323 Nw Aloha St, Port St Lucie, FL 34986-3533
	(773) 263-3424
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Dieudonne Mitial
Gender	Male
Speciality	General Practice
Location	5323 Nw Aloha St, Port St Lucie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750766465
Provider Enumeration Date: 07/23/2015
Last Update Date: 03/11/2020

Medicare PECOS Information:

PECOS PAC ID: 2062718257
Enrollment ID: I20160315001111

Medical Identifiers

Medical identifiers for Dr Dieudonne Mitial such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750766465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	19073 (Puerto Rico)	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. Dr Dieudonne Mitial allows following entities to bill medicare on his behalf.

Entity Name	Hospital Menonita De Cayey
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750317764 PECOS PAC ID: 2466449657 Enrollment ID: O20040429000135

Entity Name	Municipio De Maunabo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932171790 PECOS PAC ID: 6204861883 Enrollment ID: O20051003000377

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. Dr Dieudonne Mitial 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
Dr Dieudonne Mitial, MD, MHSA 5323 Nw Aloha St, Port St Lucie, FL 34986-3533 Ph: (773) 263-3424	Dr Dieudonne Mitial, MD, MHSA 5323 Nw Aloha St, Port St Lucie, FL 34986-3533 Ph: (773) 263-3424

Reviews and Comments

General Practice Doctors in Port St Lucie, FL

Regine Dorvil, MD General Practice Medicare: Medicare Enrolled Practice Location: 671 Se Port St Lucie Blvd, Port St Lucie, FL 34984 Phone: 772-353-5716 Fax: 844-367-0091
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Jorge Manuel Gomez Vizcarra, MD General Practice Medicare: Medicare Enrolled Practice Location: 1100 Sw Saint Lucie West Blvd Ste 209, Port St Lucie, FL 34986 Phone: 772-204-8889 Fax: 772-204-8895
Dr. Jacqueline Stephanie De La Cruz, MD General Practice Medicare: Medicare Enrolled Practice Location: 9109 S Us Highway 1 Ste 101, Port St Lucie, FL 34952 Phone: 772-398-1305 Fax: 772-398-1307
Dr. Chacko Nebu, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 7025 Oleander Ave, Port St Lucie, FL 34952 Phone: 609-744-4133 Fax: 772-882-5166
Dr. Brenda Hernandez Reyes, General Practice Medicare: Accepting Medicare Assignments Practice Location: 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL 34983 Phone: 772-905-2555

Dr Dieudonne Mitial, MD, MHSA - Medicare General Practice in Port St Lucie, FL