Mitas Llc - Medicare in Shiloh, IL

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Mitas Llc is a medicare enrolled "Orthopaedic Surgery" provider in Shiloh, Illinois. Their current practice location is 1191 Fortune Blvd Ste 2, Shiloh, Illinois. You can reach out to their office (for appointments etc.) via phone at (404) 580-8511.

Mitas Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mitas Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1659967917.

Contact Information

Mitas Llc
1191 Fortune Blvd Ste 2,
Shiloh, IL 62269-7474
(404) 580-8511
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMitas Llc
TypeFacility
SpecialityOrthopaedic Surgery
Location1191 Fortune Blvd Ste 2, Shiloh, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659967917
  • Provider Enumeration Date: 12/21/2020
  • Last Update Date: 09/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355745316
  • Enrollment ID: O20210812002429

Medical Identifiers

Medical identifiers for Mitas Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659967917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mitas Llc acts as a billing entity for following providers:
Provider NameSwastik K Sinha
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1013163120
PECOS PAC ID: 9537339924
Enrollment ID: I20170810001062
Provider NamePolly B Sinha
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730215054
PECOS PAC ID: 6507857869
Enrollment ID: I20190916001613
Provider NameLori D Hawkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760267736
PECOS PAC ID: 4486007937
Enrollment ID: I20240131003003
Provider NameKelli K Richardson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871806398
PECOS PAC ID: 5092839894
Enrollment ID: I20240930001086

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. Mitas Llc 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
Mitas Llc
1191 Fortune Blvd Ste 2,
Shiloh, IL 62269-7474

Ph: (404) 580-8511		Mitas Llc
1191 Fortune Blvd Ste 2,
Shiloh, IL 62269-7474

Ph: (404) 580-8511

Reviews and Comments



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.