Dwight Anthony Dishmon, MD in Memphis, TN - Medicare Cardiovascular Disease (cardiology)

Dwight Anthony Dishmon, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Memphis, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Metropolitan Cardiovascular Institute, Shotrx, Llc and his current practice location is 1251 Wesley Dr, Suite 153, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 763-0200.

Dwight Anthony Dishmon is licensed to practice in Tennessee (license number 39198) 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 1316904048.

Contact Information

	Dwight Anthony Dishmon, MD
	1251 Wesley Dr, Suite 153, Memphis, TN 38116-6442
	(901) 763-0200
	(901) 761-4002

Map and Direction

Physician's Profile

Full Name	Dwight Anthony Dishmon
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	23 Years
Location	1251 Wesley Dr, Memphis, Tennessee
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:

Dwight Anthony Dishmon attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2002

NPI Data:

NPI Number: 1316904048
Provider Enumeration Date: 04/27/2006
Last Update Date: 08/26/2021

Medicare PECOS Information:

PECOS PAC ID: 9931165941
Enrollment ID: I20041201001010

Medical Identifiers

Medical identifiers for Dwight Anthony Dishmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316904048	NPI	-	NPPES
3325860	Medicaid	TN
155106001	Medicaid	AR
4354768	Other	TN	BCBS
P01301155	Other	TN	RAILROAD MEDICARE
07222339	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	39198 (Tennessee)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	39198 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Healthcare Memphis Hospitals	Memphis, TN	Hospital
St Francis Hospital	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Metropolitan Cardiovascular Institute	2769879352	2
Shotrx, Llc	6406245174	2

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. Dwight Anthony Dishmon allows following entities to bill medicare on his behalf.

Entity Name	Poplar Avenue Clinic, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124588793 PECOS PAC ID: 0042552457 Enrollment ID: O20190515003081

Entity Name	Shotrx, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154990943 PECOS PAC ID: 6406245174 Enrollment ID: O20211118001204

Entity Name	Metropolitan Cardiovascular Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336816388 PECOS PAC ID: 2769879352 Enrollment ID: O20220429000308

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. Dwight Anthony Dishmon 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
Dwight Anthony Dishmon, MD 1975 Nonconnah Blvd, Memphis, TN 38132-2108 Ph: (901) 596-4096	Dwight Anthony Dishmon, MD 1251 Wesley Dr, Suite 153, Memphis, TN 38116-6442 Ph: (901) 763-0200

Reviews and Comments

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Dwight Anthony Dishmon, MD - Medicare Cardiovascular Disease (cardiology) in Memphis, TN