Larissa M Dimitrov, MD in Shoreview, MN - Medicare Family Practice

Larissa M Dimitrov, MD is a medicare enrolled "Family Medicine" physician in Shoreview, Minnesota. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Allina Health System and her current practice location is 4166 Lexington Ave N, Shoreview, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 483-5461.

Larissa M Dimitrov is licensed to practice in Minnesota (license number 72958) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386827053.

Contact Information

	Larissa M Dimitrov, MD
	4166 Lexington Ave N, Shoreview, MN 55126-6106
	(651) 483-5461
	Not Available

Map and Direction

Physician's Profile

Full Name	Larissa M Dimitrov
Gender	Female
Speciality	Family Practice
Experience	33 Years
Location	4166 Lexington Ave N, Shoreview, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larissa M Dimitrov graduated from medical school in 1991

NPI Data:

NPI Number: 1386827053
Provider Enumeration Date: 12/17/2007
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 6002990462
Enrollment ID: I20230814002070

Medical Identifiers

Medical identifiers for Larissa M Dimitrov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386827053	NPI	-	NPPES
01062576A	Other	IN	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QG0300X	Family Medicine - Geriatric Medicine	72958 (Minnesota)	Secondary
207Q00000X	Family Medicine	72958 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

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. Larissa M Dimitrov allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Larissa M Dimitrov 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
Larissa M Dimitrov, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Larissa M Dimitrov, MD 4166 Lexington Ave N, Shoreview, MN 55126-6106 Ph: (651) 483-5461

Reviews and Comments

Family Medicine Doctors in Shoreview, MN

John Paul Lundgren, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461
Elizabeth A Detlie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 404 Highway 96 W, Shoreview, MN 55126 Phone: 651-483-8283 Fax: 651-483-8299
Lizabeth Kaku, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461
Brandy Lee Utter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461
Jeffrey Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 612-804-2522
Matthew C Monteiro, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 Highway 96 W, Shoreview, MN 55126 Phone: 651-483-8283 Fax: 651-483-8299
Dr. Seth A Vogel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461

Larissa M Dimitrov, MD - Medicare Family Practice in Shoreview, MN