Kelly Dimitris, MD | |
525 E Market St, Akron, OH 44304-1619 | |
(330) 375-3369 | |
(330) 375-3769 |
Full Name | Kelly Dimitris |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 525 E Market St, Akron, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376599597 | NPI | - | NPPES |
2456908 | Medicaid | OH | |
341779226003 | Other | OH | MED MUTUAL OH 2 OF 3 |
341779226006 | Other | OH | MED MUTUAL OF OH 3 OF 3 |
00000031642 | Other | OH | ANTHEM |
61641 | Other | OH | UNITED HEALTCARE |
341779226002 | Other | OH | MED MUTUAL OH 1 OF 3 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35082869 (Ohio) | Primary |
Entity Name | Emergency Professional Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
---|---|
Kelly Dimitris, MD Po Box 1649, Akron, OH 44309-1649 Ph: (330) 864-8900 | Kelly Dimitris, MD 525 E Market St, Akron, OH 44304-1619 Ph: (330) 375-3369 |
Dr. Jason Dean Eidahl, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 E Market St, Akron, OH 44304 Phone: 330-375-3000 | |
Sharhabeel Jwayyed, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 E Market St, Akron, OH 44304 Phone: 330-375-3369 Fax: 330-375-3769 | |
Ryan James Reichert, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Perkins Square, Akron Childrens Hospital, Akron, OH 44302 Phone: 330-543-1000 | |
Jack H Mitstifer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Wabash Ave, Akron, OH 44307 Phone: 330-344-1799 Fax: 330-253-8293 | |
Mary Jo Mcmullen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Wabash Ave, Akron, OH 44307 Phone: 330-344-1799 Fax: 330-253-8293 | |
Carlynn Fulp, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Akron General Ave, Akron, OH 44307 Phone: 330-344-6000 | |
Gregory Mancini, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Akron General Ave, Akron, OH 44307 Phone: 330-344-6000 |