Dr Dimitrios J Dimitriades, MD | |
394 Courthouse Rd, Suite A, Gulfport, MS 39507-1865 | |
(228) 896-4417 | |
(228) 604-0121 |
Full Name | Dr Dimitrios J Dimitriades |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 394 Courthouse Rd, Gulfport, Mississippi |
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 |
---|---|---|---|
1851327522 | NPI | - | NPPES |
00119666 | Medicaid | MS | |
5057532 | Other | MS | AETNA |
080119197 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16024 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kare In Home Health Services | Gulfport, MS | Home health agency |
Mississippi Homecare Of Picayune | Picayune, MS | Home health agency |
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Pearl River County Hospital | Poplarville, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hospital At Gulfport | 2466524012 | 385 |
Exceed Physical Therapy Llc | 8123378338 | 56 |
Entity Name | Memorial Hospital At Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Mailing Address | Practice Location Address |
---|---|
Dr Dimitrios J Dimitriades, MD Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 865-1453 | Dr Dimitrios J Dimitriades, MD 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1865 Ph: (228) 896-4417 |
Marcus John Wilson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Broad Ave, Suite 700, Gulfport, MS 39501 Phone: 228-864-0314 Fax: 228-868-8345 | |
Daniel Salmeron, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14116 Customs Blvd, Gulfport, MS 39503 Phone: 601-957-6300 | |
Dr. Carmenza Marcella Valderrama, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1202 Broad Avenue, Gulfport, MS 39501 Phone: 228-822-9360 Fax: 228-822-9361 | |
Dr. Paulette L. Foster-galbraith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Darran St, Gulfport, MS 39503 Phone: 228-831-1988 Fax: 228-832-3844 | |
Dr. Donald D. Weaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1612 31st Ave, Gulfport, MS 39501 Phone: 228-864-8454 Fax: 228-865-1457 | |
Taylor Hairston, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 15190 Community Rd, Gulfport, MS 39503 Phone: 228-220-5200 | |
Candace Worsham, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1924 30th Ave, Gulfport, MS 39501 Phone: 228-863-7117 |