| Mrs Mukti B Patel, PA-C | |
|
5051 Se 110th St, Belleview, FL 34420-3115 | |
| (352) 245-9157 | |
| (352) 245-3031 |
| Full Name | Mrs Mukti B Patel |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 5051 Se 110th St, Belleview, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164492864 | NPI | - | NPPES |
| 292223100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9103092 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northfield City Hospital | Northfield, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northfield Hospital | 2567372998 | 121 |
| Entity Name | Northfield Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417990805 PECOS PAC ID: 2567372998 Enrollment ID: O20031117000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mukti B Patel, PA-C 14655 Galaxie Ave, Apple Valley, MN 55124-8602 Ph: (952) 432-6161 | Mrs Mukti B Patel, PA-C 5051 Se 110th St, Belleview, FL 34420-3115 Ph: (352) 245-9157 |
Daphne R Charles, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9973 Se 58th Ave Unit 104, Belleview, FL 34420 Phone: 352-693-4777 |
Mr. Michael Crimi Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10762 Se Us Highway 441, Belleview, FL 34420 Phone: 352-347-5225 Fax: 325-347-7977 |
Harriett Williemae Smith-mckinney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10762 Se Us Highway 441, Belleview, FL 34420 Phone: 352-347-5225 Fax: 352-347-1073 |
Susan E. Bonenclark, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5051 Se 110th St, Belleview, FL 34420 Phone: 352-674-1730 Fax: 352-674-8930 |
Robert Arthur Hoffman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4720 Se 120th St, Belleview, FL 34420 Phone: 352-322-3159 |
Mr. Paul M. Kilpatrick, P.A.C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 Phone: 352-404-4288 Fax: 833-449-3827 |