Ms Elizabeth M Dimitri, DO | |
2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | |
(985) 643-4575 | |
(985) 643-4513 |
Full Name | Ms Elizabeth M Dimitri |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 23 Years |
Location | 2104 Gause Blvd W, Slidell, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285700732 | NPI | - | NPPES |
1150126 | Medicaid | LA | |
09685205 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 14885R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Medical Center-hancock | Bay saint louis, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
E. M. Dimitri, D.o. Pmc. | 4284722059 | 16 |
E. M. Dimitri, D.o. Pmc. | 4284722059 | 16 |
Entity Name | E. M. Dimitri, D.o. Pmc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821285974 PECOS PAC ID: 4284722059 Enrollment ID: O20071116000378 |
Mailing Address | Practice Location Address |
---|---|
Ms Elizabeth M Dimitri, DO 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 Ph: (985) 643-4575 | Ms Elizabeth M Dimitri, DO 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 Ph: (985) 643-4575 |
Mr. David Allen Pate I, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2780 Gause Blvd E, Slidell, LA 70461 Phone: 985-641-5198 | |
Deborah C. Hilton, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1051 Gause Blvd Ste 460, Slidell, LA 70458 Phone: 985-649-5880 Fax: 985-649-5369 | |
Helene Marguerite Erickson, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2750 Gause Blvd E, Slidell, LA 70461 Phone: 985-639-3777 | |
Eric Neal Tabor, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2780 Gause Blvd E, Suite A, Slidell, LA 70461 Phone: 985-641-5198 Fax: 985-641-5398 | |
Dr. Mehdi Mosadegh, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2104 Gause Blvd W, Ste. A, Slidell, LA 70460 Phone: 985-643-4575 Fax: 985-643-4513 | |
Dr. Kate Kathleen Mcdonald, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 380 Gateway Dr, Slidell, LA 70461 Phone: 985-690-6600 Fax: 985-690-9860 |