Dr Himanshu Mittal, MD | |
2620 N. Westwood Blvd, Poplar Bluff, MO 63901 | |
(573) 727-2640 | |
Not Available |
Full Name | Dr Himanshu Mittal |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 23 Years |
Location | 2620 N. Westwood Blvd, Poplar Bluff, Missouri |
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 |
---|---|---|---|
1366682239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT192795 (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | 2011021601 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Physicians Of Illinois Llc | 1557533734 | 202 |
Entity Name | Cogent Healthcare Of Missouri Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863 |
Entity Name | Poplar Bluff Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679822647 PECOS PAC ID: 0648424614 Enrollment ID: O20130129000611 |
Entity Name | Butler Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982056545 PECOS PAC ID: 6608164561 Enrollment ID: O20161007001160 |
Entity Name | St Charles Physician Services Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609317205 PECOS PAC ID: 5698052694 Enrollment ID: O20170428002056 |
Entity Name | Forest Physician Services, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548791676 PECOS PAC ID: 8325325202 Enrollment ID: O20170502000753 |
Entity Name | Sound Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666 |
Mailing Address | Practice Location Address |
---|---|
Dr Himanshu Mittal, MD 624 Jefferson Avenue, Scranton, PA 18510 Ph: (570) 955-6336 | Dr Himanshu Mittal, MD 2620 N. Westwood Blvd, Poplar Bluff, MO 63901 Ph: (573) 727-2640 |
Mrs. Philma Balite Opinaldo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Parkway, Suite 303, Poplar Bluff, MO 63901 Phone: 573-785-6536 Fax: 573-785-0345 | |
Hanumanth K Reddy, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2600 | |
Steven S. Smith, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-339-0909 | |
Lance T Majors, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 | |
Khalil J Haiderzad, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, John J Pershing Vamc, Poplar Bluff, MO 63901 Phone: 573-778-4441 | |
Dr. Dennis Edwards Daniels, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1906a Greenwood Dr, Poplar Bluff, MO 63901 Phone: 573-778-5913 Fax: 573-776-7750 | |
Raghuveer Kura, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-9914 Fax: 573-776-9919 |