Mithun Sivadasan, - Medicare Podiatrist in Ansonia, CT

Mithun Sivadasan, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ansonia, Connecticut. He went to Temple University School Of Podiatric Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Kenneth Donovan Dpm Llc and his current practice location is 364 E Main St, Ansonia, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 734-4806.

Mithun Sivadasan is licensed to practice in Connecticut (license number 1047) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912351594.

Contact Information

Mithun Sivadasan,
364 E Main St,
Ansonia, CT 06401-1904
(203) 734-4806
Not Available



Healthcare Provider's Profile

Full NameMithun Sivadasan
GenderMale
SpecialityPodiatry
Experience8 Years
Location364 E Main St, Ansonia, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mithun Sivadasan attended and graduated from Temple University School Of Podiatric Medicine in 2016
  NPI Data:
  • NPI Number: 1912351594
  • Provider Enumeration Date: 04/20/2016
  • Last Update Date: 03/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830428614
  • Enrollment ID: I20220119000079

Medical Identifiers

Medical identifiers for Mithun Sivadasan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912351594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 1047 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Medical CenterToms river, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kenneth Donovan Dpm Llc04464110865

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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. Mithun Sivadasan allows following entities to bill medicare on his behalf.
Provider NameKenneth Donovan Dpm Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1417229493
PECOS PAC ID: 0446411086
Enrollment ID: O20120409000391

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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. Mithun Sivadasan 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
Mithun Sivadasan,
370 Old Country Rd, Ste 100,
Garden City, NY 11530-1702

Ph: (718) 920-4321
Mithun Sivadasan,
364 E Main St,
Ansonia, CT 06401-1904

Ph: (203) 734-4806

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Podiatrist in Ansonia, CT

Yale Podiatry Group Pc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 364 E Main St, Yale Podiatry Group Pc, Ansonia, CT 06401
Phone: 203-734-4806    Fax: 203-734-8265
Yale Podiatry Group
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 364 E Main St, Ansonia, CT 06401
Phone: 203-734-4806    Fax: 203-734-8265
Jeffrey F Yale, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 364 E Main St, Ansonia, CT 06401
Phone: 203-734-4806    Fax: 203-734-8265
Michael S Travisano, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 364 E Main St, Ansonia, CT 06401
Phone: 203-734-4806    Fax: 203-734-8265

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