Dimitris Gerothanassis, MD | |
2825 E Barnett Rd, Medford, OR 97504-8332 | |
(541) 891-7000 | |
Not Available |
Full Name | Dimitris Gerothanassis |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2825 E Barnett Rd, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124134069 | NPI | - | NPPES |
2134489 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 226334 (Massachusetts) | Primary |
Entity Name | Commonwealth Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
Mailing Address | Practice Location Address |
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Dimitris Gerothanassis, MD 3115 Alameda St Apt 23, Medford, OR 97504-9677 Ph: () - | Dimitris Gerothanassis, MD 2825 E Barnett Rd, Medford, OR 97504-8332 Ph: (541) 891-7000 |
John H Rennick, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3156 State St, Medford, OR 97504 Phone: 541-476-2373 | |
Linda Young, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 140 South Holly Street, Medford, OR 97501 Phone: 541-774-8200 Fax: 541-774-7964 | |
Oscar Adolfo Sanchez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Medford, OR 97504 Phone: 541-789-5710 Fax: 541-789-5713 | |
Dr. William Brendon Haynal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Drive, Suite 300 B, Medford, OR 97504 Phone: 541-789-8100 Fax: 541-789-8101 | |
Michael Steven Narus, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 920 Royal Ave, Medford, OR 97504 Phone: 541-732-8400 Fax: 541-732-8401 | |
Dr. Sam Scott Sorrentino, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Beatty, Medford, OR 97501 Phone: 541-476-2373 |