Dr Dimitri Serge Merine, MD | |
21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | |
(410) 356-8186 | |
(410) 356-4180 |
Full Name | Dr Dimitri Serge Merine |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 41 Years |
Location | 21 Crossroads Dr, Owings Mills, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710950944 | NPI | - | NPPES |
KA80 | Other | MD | B/C B/S |
546661000 | Medicaid | MD | |
J062 | Other | MD | B/C B/S |
2849 | Other | DC | B/C B/S |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | D0037021 (Maryland) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | D0037021 (Maryland) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Medstar Good Samaritan Hospital | Baltimore, MD | Hospital |
Medstar Union Memorial Hospital | Baltimore, MD | Hospital |
Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
Medstar Franklin Square Medical Center | Baltimore, MD | Hospital |
Medstar Harbor Hospital | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Medical Group Radiology, Llc | 1557589157 | 163 |
Physician Imaging Of Washington Hospital Center Llc | 6204910292 | 88 |
Physician Imaging Of Washington Hospital Center Llc | 6204910292 | 88 |
Entity Name | Medstar Medical Group Radiology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20140822001847 |
Entity Name | Medstar Medical Group - Southern Maryland Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831592211 PECOS PAC ID: 1355667056 Enrollment ID: O20150223001281 |
Entity Name | Physician Imaging Of Washington Hospital Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700246022 PECOS PAC ID: 6204910292 Enrollment ID: O20160407000340 |
Mailing Address | Practice Location Address |
---|---|
Dr Dimitri Serge Merine, MD 10373a Reisterstown Rd, Owings Mills, MD 21117-3617 Ph: (410) 356-8186 | Dr Dimitri Serge Merine, MD 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 Ph: (410) 356-8186 |
Dr. Elizabeth Leonard Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Ronald Jeffrey Stanfield, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Darryl Jay Garfinkel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Brian Mark Monroe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Craig R Suchin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 25 Crossroads Dr Ste 110, Owings Mills, MD 21117 Phone: 410-363-2192 Fax: 410-363-2860 | |
Dr. Laurie Ann Abrams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Faysal Mudarris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 |