| Josel V Mijares, MD | |
|
1116 Millis Ave, Boonville, IN 47601-2226 | |
| (812) 897-7383 | |
| Not Available |
| Full Name | Josel V Mijares |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 1116 Millis Ave, Boonville, Indiana |
| 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 |
|---|---|---|---|
| 1992707103 | NPI | - | NPPES |
| 200138590 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01047282 (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 01047282A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Evansville, IN | Home health agency |
| Ascension St Vincent Warrick | Boonville, IN | Hospital |
| Ascension St Vincent Evansville | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Medical Group Llc | 1153493341 | 219 |
| Entity Name | Gibson General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558346007 PECOS PAC ID: 5991788069 Enrollment ID: O20040609001512 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | St Marys Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
| Mailing Address | Practice Location Address |
|---|---|
| Josel V Mijares, MD 1116 Millis Ave Ste 101, Boonville, IN 47601-2226 Ph: () - | Josel V Mijares, MD 1116 Millis Ave, Boonville, IN 47601-2226 Ph: (812) 897-7383 |
Syed A Ali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Millis Ave, Boonville, IN 47601 Phone: 812-897-4458 Fax: 812-897-5977 | |
Sumir Bhateja, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3277 Liberty Blvd Ste A, Boonville, IN 47601 Phone: 812-897-8500 |