| Manoj Mithal, MD | |
|
715 S Health Pkwy, Three Rivers, MI 49093-8352 | |
| (269) 273-8471 | |
| (269) 273-9680 |
| Full Name | Manoj Mithal |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 32 Years |
| Location | 715 S Health Pkwy, Three Rivers, Michigan |
| 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 |
|---|---|---|---|
| 1336260645 | NPI | - | NPPES |
| 700G560080 | Other | MI | BCBS GROUP-THREE RIVERS HEALTH |
| 1336260645 | Medicaid | MI | |
| 46525 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 2507510592 | Other | BCBS PIN | |
| 382317300011 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 4301088958 (Michigan) | Primary |
| Entity Name | Oakland Physical Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447446562 PECOS PAC ID: 5890776231 Enrollment ID: O20040601000331 |
| Entity Name | Integrated Rehab Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20180307001830 |
| Entity Name | West Michigan Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003317504 PECOS PAC ID: 0941564934 Enrollment ID: O20180426002965 |
| Entity Name | West Coast Health And Rehab Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043743891 PECOS PAC ID: 8325315609 Enrollment ID: O20210302001942 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Manoj Mithal, MD 701 S Health Pkwy, Medical Staff Office, Three Rivers, MI 49093-8352 Ph: (269) 273-9789 | Manoj Mithal, MD 715 S Health Pkwy, Three Rivers, MI 49093-8352 Ph: (269) 273-8471 |