Dimitry Samuel Davydow, MD in Gainesville, FL

Dimitry Samuel Davydow, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gainesville, Florida. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Comprehensive Mental Health Center Of Tacoma Pierce County, Florida Clinical Practice Association Inc and his current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 265-0301.

Dimitry Samuel Davydow is licensed to practice in Florida (license number ME165986) 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 1619911930.

Contact Information

	Dimitry Samuel Davydow, MD
	1600 Sw Archer Rd, Gainesville, FL 32610-0001
	(352) 265-0301
	Not Available

Map and Direction

Physician's Profile

Full Name	Dimitry Samuel Davydow
Gender	Male
Speciality	Psychiatry
Experience	22 Years
Location	1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dimitry Samuel Davydow graduated from medical school in 2002

NPI Data:

NPI Number: 1619911930
Provider Enumeration Date: 06/16/2006
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8325041445
Enrollment ID: I20080325000424

Medical Identifiers

Medical identifiers for Dimitry Samuel Davydow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619911930	NPI	-	NPPES
0257115	Other	WA	L&I
1619911930	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0015X	Psychiatry & Neurology - Psychosomatic Medicine	ME165986 (Florida)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	ME165986 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uf Health Shands Hospital	Gainesville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Comprehensive Mental Health Center Of Tacoma Pierce County	8426139932	3
Florida Clinical Practice Association Inc	0345146254	1622

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. Dimitry Samuel Davydow allows following entities to bill medicare on his behalf.

Entity Name	Comprehensive Mental Health Center Of Tacoma Pierce County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952597056 PECOS PAC ID: 8426139932 Enrollment ID: O20080122000509

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. Dimitry Samuel Davydow 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
Dimitry Samuel Davydow, MD Po Box 100183, Gainesville, FL 32610-0183 Ph: (352) 265-4357	Dimitry Samuel Davydow, MD 1600 Sw Archer Rd, Gainesville, FL 32610-0001 Ph: (352) 265-0301

Reviews and Comments

Psychiatry & Neurology Doctors in Gainesville, FL

Richa Vijayvargiya, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-4357 Fax: 352-627-4150
Dr. Gerald Richardson Iii, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7360 Nw 47th Way, Gainesville, FL 32653 Phone: 407-821-5979
Dr. Edgard Olbany Andrade, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-392-6442
Dr. Thiago Santos Carneiro, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-5550 Fax: 352-273-5575
Dr. Leston B Nay, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5318 Sw 91st Ter, Suite B, Gainesville, FL 32608 Phone: 352-375-5553 Fax: 352-672-6201
Leonardo Rodriguez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-376-1611 Fax: 352-271-4574
Dr. Newton Agrawal, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600

Dimitry Samuel Davydow, MD - Medicare Psychiatry in Gainesville, FL