Thomas E Mitoraj, MD in Bristol, TN

Thomas E Mitoraj, MD is a medicare enrolled "Pediatrics" physician in Bristol, Tennessee. His current practice location is 109 Meadow View Rd, Ste 3, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 968-4007.

Thomas E Mitoraj is licensed to practice in Tennessee (license number 021345) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255381752.

Contact Information

	Thomas E Mitoraj, MD
	109 Meadow View Rd, Ste 3, Bristol, TN 37620-1661
	(423) 968-4007
	(423) 652-2590

Map and Direction

Physician's Profile

Full Name	Thomas E Mitoraj
Gender	Male
Speciality	Pediatrics
Location	109 Meadow View Rd, Bristol, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255381752
Provider Enumeration Date: 05/12/2006
Last Update Date: 02/17/2025

Medicare PECOS Information:

PECOS PAC ID: 4880122951
Enrollment ID: I20250117000089

Medical Identifiers

Medical identifiers for Thomas E Mitoraj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255381752	NPI	-	NPPES
123498	Other	TN	BLUE CROSS TN
006746080	Medicaid	VA
042029	Other	VA	ANTHEM
3060577	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	021345 (Tennessee)	Primary

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. Thomas E Mitoraj allows following entities to bill medicare on his behalf.

Entity Name	State Of Franklin Healthcare Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101

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. Thomas E Mitoraj 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
Thomas E Mitoraj, MD Po Box 632476, Cincinnati, OH 45263-2476 Ph: (423) 968-4007	Thomas E Mitoraj, MD 109 Meadow View Rd, Ste 3, Bristol, TN 37620-1661 Ph: (423) 968-4007

Reviews and Comments

Pediatrics Doctors in Bristol, TN

Dr. Joanne Blow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Forest Hills Dr, Bristol, TN 37620 Phone: 423-968-5018 Fax: 423-968-2934
Dr. John Richard Hovious Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 109 Meadow View Road, Suite 7, Bristol, TN 37620 Phone: 423-652-1655 Fax: 423-652-7668
Dr. Jessica D Hommel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 320 Steeles Rd, Bristol, TN 37620 Phone: 423-968-2599

Thomas E Mitoraj, MD - Medicare Pediatrics in Bristol, TN