Dimitra Maria Lotakis, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. Her current practice location is
705 Riley Hospital Dr, Riley 2500, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 274-3215.
Dimitra Maria Lotakis is licensed to practice in Indiana (license number 01093153A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629458385.
Physician's Profile
Full Name | Dimitra Maria Lotakis |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 705 Riley Hospital Dr, Riley 2500, Indianapolis, Indiana |
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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: 1629458385
- Provider Enumeration Date: 06/08/2015
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173893856
- Enrollment ID: I20240125004304
Medical Identifiers
Medical identifiers for Dimitra Maria Lotakis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629458385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4301504246 (Michigan) | Secondary |
208600000X | Surgery | 01093153A (Indiana) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 01093153A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 4301504246 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 01093153A (Indiana) | 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. Dimitra Maria Lotakis allows following entities to bill medicare on her behalf.
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
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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. Dimitra Maria Lotakis 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 |
Dimitra Maria Lotakis, MD 705 Riley Hospital Dr, Riley 2500, Indianapolis, IN 46202-5109 Ph: (317) 274-3215 | Dimitra Maria Lotakis, MD 705 Riley Hospital Dr, Riley 2500, Indianapolis, IN 46202-5109 Ph: (317) 274-3215 |
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