Davi Andrade Mavromatis, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Greenville, North Carolina. His current practice location is
905 Johns Hopkins Dr Rm 208, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 744-2663.
Davi Andrade Mavromatis is licensed to practice in * (Not Available) (license number ) 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 1629605837.
Physician's Profile
Full Name | Davi Andrade Mavromatis |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 905 Johns Hopkins Dr Rm 208, Greenville, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629605837
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 04/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183049927
- Enrollment ID: I20200810003649
Medical Identifiers
Medical identifiers for Davi Andrade Mavromatis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629605837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | RTL22-0165 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Davi Andrade Mavromatis 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 |
Davi Andrade Mavromatis, MD 2100 Stantonsburg Rd, Greenville, NC 27834-2818 Ph: () - | Davi Andrade Mavromatis, MD 905 Johns Hopkins Dr Rm 208, Greenville, NC 27834-2056 Ph: (252) 744-2663 |
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