Monalisa M Mitra, DO - Medicare Internal Medicine in Grapevine, TX

Monalisa M Mitra, DO is a medicare enrolled "Internal Medicine" physician in Grapevine, Texas. She went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Dallas Medical Specialists, Pllc, Healthtexas Provider Network and her current practice location is 4100 Heritage Ave, Ste 106, Grapevine, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 283-1112.

Monalisa M Mitra is licensed to practice in Texas (license number M4363) 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 1710097456.

Contact Information

Monalisa M Mitra, DO
4100 Heritage Ave, Ste 106,
Grapevine, TX 76051-5714
(817) 283-1112
(817) 283-1116

Map and Direction




Physician's Profile

Full NameMonalisa M Mitra
GenderFemale
SpecialityInternal Medicine
Experience21 Years
Location4100 Heritage Ave, Grapevine, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Monalisa M Mitra attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2003
  NPI Data:
  • NPI Number: 1710097456
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 06/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042211385
  • Enrollment ID: I20070129000709

Medical Identifiers

Medical identifiers for Monalisa M Mitra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710097456NPI-NPPES
184283303MedicaidTX
184283302MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine M4363 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Medical Center At Trophy ClubTrophy club, TXHospital
Baylor Scott & White Medical Center GrapevineGrapevine, TXHospital

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. Monalisa M Mitra allows following entities to bill medicare on her behalf.
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187
Entity NameExcel Physicians Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558706119
PECOS PAC ID: 4385884246
Enrollment ID: O20130717000570
Entity NameDallas Medical Specialists, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508217811
PECOS PAC ID: 3072895788
Enrollment ID: O20170112001818

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. Monalisa M Mitra 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 AddressPractice Location Address
Monalisa M Mitra, DO
4100 Heritage Ave Ste 106,
Grapevine, TX 76051-5716

Ph: (817) 283-1112
Monalisa M Mitra, DO
4100 Heritage Ave, Ste 106,
Grapevine, TX 76051-5714

Ph: (817) 283-1112

Reviews and Comments


Internal Medicine Doctors in Grapevine, TX

Raul A Santos Jr., MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 W College St, Suite 680, Grapevine, TX 76051
Phone: 817-912-8400    Fax: 817-912-8410
Tania Purkayastha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 W College St Ste 130, Grapevine, TX 76051
Phone: 214-689-7806    Fax: 214-689-5970
Dr. Vikas Aurora, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1643 Lancaster Dr, 202, Grapevine, TX 76051
Phone: 817-251-9080    Fax: 817-251-9082
Ashley Janae Fagan, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1280 S Main St Ste 100, Grapevine, TX 76051
Phone: 817-310-0898    Fax: 817-310-5524
Dr. Khaliq Abdul Rauf, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1650 W College St, Suite 150, Grapevine, TX 76051
Phone: 817-388-3440    Fax: 817-388-3440
Dr. Amyn Malik, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4100 Heritage Ave Ste 102, Grapevine, TX 76051
Phone: 469-251-0589    Fax: 817-381-3321
Dr. Adaeze Chimeogo Nwosu, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1054 Texan Trl, Suite 300, Grapevine, TX 76051
Phone: 253-682-1710    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.