Mithilesh Tamirisa, MD is a medicare enrolled "Internal Medicine" physician in Rossford, Ohio. She went to Medical College Of Ohio and graduated in 1981 and has 45 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice A And S Khandelwal Md Inc and her current practice location is
516 Riverside Dr, Rossford, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 410-4898.
Mithilesh Tamirisa is licensed to practice in Ohio (license number 35050201) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861486714.
Physician's Profile
| Full Name | Mithilesh Tamirisa |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 45 Years |
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| Location | 516 Riverside Dr, Rossford, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mithilesh Tamirisa attended and graduated from Medical College Of Ohio in 1981
NPI Data:
- NPI Number: 1861486714
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 03/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 7315966678
- Enrollment ID: I20200610002165
Medical Identifiers
Medical identifiers for Mithilesh Tamirisa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861486714 | NPI | - | NPPES |
| 0628888 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 35050201 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| A And S Khandelwal Md Inc | 1850358300 | 6 |
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. Mithilesh Tamirisa allows following entities to bill medicare on her behalf.
| Entity Name | A & S Khandelwal Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487702718 PECOS PAC ID: 1850358300 Enrollment ID: O20041216000003 |
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| Entity Name | Ohio Living Palliative Care Greater Toledo Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861981656 PECOS PAC ID: 3476803594 Enrollment ID: O20180911000364 |
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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. Mithilesh Tamirisa 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 |
Mithilesh Tamirisa, MD 516 Riverside Dr, Rossford, OH 43460-1055 Ph: (419) 410-4898 | Mithilesh Tamirisa, MD 516 Riverside Dr, Rossford, OH 43460-1055 Ph: (419) 410-4898 |
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