Dimitri Misailidis, MD in Martinsburg, WV

Dimitri Misailidis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Martinsburg, West Virginia. His current practice location is 300 Foxcroft Ave, Suite 202b, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 263-4967.

Dimitri Misailidis is licensed to practice in West Virginia (license number 15875) 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 1053356204.

Contact Information

	Dimitri Misailidis, MD
	300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-5341
	(304) 263-4967
	(304) 267-5461

Map and Direction

Physician's Profile

Full Name	Dimitri Misailidis
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	300 Foxcroft Ave, Martinsburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053356204
Provider Enumeration Date: 06/19/2006
Last Update Date: 02/01/2013

Medicare PECOS Information:

PECOS PAC ID: 9638129216
Enrollment ID: I20110319000082

Medical Identifiers

Medical identifiers for Dimitri Misailidis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053356204	NPI	-	NPPES
000848955	Other	WV	WV BCBS
0118129000	Medicaid	WV
535851500	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	15875 (West Virginia)	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. Dimitri Misailidis allows following entities to bill medicare on his behalf.

Entity Name	West Virginia University Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207

Entity Name	Martinsburg Radiology Assoc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922092568 PECOS PAC ID: 5496705071 Enrollment ID: O20050201000184

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. Dimitri Misailidis 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
Dimitri Misailidis, MD 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-5341 Ph: (304) 263-4967	Dimitri Misailidis, MD 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-5341 Ph: (304) 263-4967

Reviews and Comments

Radiology Doctors in Martinsburg, WV

Dr. David Long Lawrence, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Imaging Service, Martinsburg, WV 25401 Phone: 304-263-0811
John Louis Blanco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401 Phone: 304-263-4967 Fax: 304-267-0974
Dr. Peter Markovic, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Imaging Service, Martinsburg, WV 25401 Phone: 304-263-0811
Edward W. Kiggundu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Foundation Way, Suite 1100, Martinsburg, WV 25401 Phone: 304-262-8800 Fax: 304-262-8203
Dr. Vivek Padha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Dr, Martinsburg, WV 25401 Phone: 304-596-6828 Fax: 304-596-5112
Hojoon Jung, MD Radiology Medicare: Medicare Enrolled Practice Location: 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401 Phone: 304-263-4967 Fax: 304-267-5461

Dimitri Misailidis, MD - Medicare Radiology in Martinsburg, WV