| Mitul R Patel, MD | |
|
250 Patchogue Yaphank Rd, Suites # 7, East Patchogue, NY 11772-4800 | |
| (631) 289-0900 | |
| (631) 569-4909 |
| Full Name | Mitul R Patel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 250 Patchogue Yaphank Rd, East Patchogue, New York |
| 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 |
|---|---|---|---|
| 1285615120 | NPI | - | NPPES |
| 67712 | Other | NY | VYTRA HEALTH ID NO. |
| 004AF3 | Other | NY | EMPIRE BLUE CROSS ID |
| 2046588 | Other | NY | AETNA PROVIDER NUMBER |
| P452012 | Other | NY | OXFORD HEALTH ID NO. |
| P00214307 | Other | NY | RR MEDICARE ID NO. |
| 01849976 | Medicaid | NY | |
| 018499760 | Medicaid | NY | |
| 100693 | Other | NY | HIP HEALTH PLAN ID NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 203391 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home (hauppauge) | Hauppauge, NY | Home health agency |
| Tender Loving Care, An Amedisys Company | Medford, NY | Home health agency |
| Wellbound | Brooklyn, NY | Home health agency |
| Constellation Home Care | Syosset, NY | Home health agency |
| Brookhaven Health Care Facility L L C | East patchogue, NY | Nursing home |
| Entity Name | Mitul R. Patel M.d. P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245521673 PECOS PAC ID: 3870762131 Enrollment ID: O20110803000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitul R Patel, MD 250 Patchogue Yaphank Rd, Suites # 7, East Patchogue, NY 11772-4800 Ph: (631) 289-0900 | Mitul R Patel, MD 250 Patchogue Yaphank Rd, Suites # 7, East Patchogue, NY 11772-4800 Ph: (631) 289-0900 |