Dr Georgi Stamatov Dimov, DC is a medicare enrolled "Chiropractor" provider in Port Orange, Florida. His current practice location is
5400 S Williamson Blvd Apt 2-201, Port Orange, Florida. You can reach out to his office (for appointments etc.) via phone at
(571) 426-6061.
Dr Georgi Stamatov Dimov is licensed to practice in Florida (license number CH14415) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326746777.
Healthcare Provider's Profile
| Full Name | Dr Georgi Stamatov Dimov |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 5400 S Williamson Blvd Apt 2-201, Port Orange, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326746777
- Provider Enumeration Date: 02/15/2023
- Last Update Date: 09/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052760220
- Enrollment ID: I20231211000805
Medical Identifiers
Medical identifiers for Dr Georgi Stamatov Dimov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326746777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | MA93347 (Florida) | Secondary |
| 111N00000X | Chiropractor | CH14415 (Florida) | Primary |
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. Dr Georgi Stamatov Dimov allows following entities to bill medicare on his behalf.
| Provider Name | Gd Chiropractic And Massage Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437938776
PECOS PAC ID: 0345699518
Enrollment ID: O20231213001676 |
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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. Dr Georgi Stamatov Dimov 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 |
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Dr Georgi Stamatov Dimov, DC
5400 S Williamson Blvd Apt 1-214,
Port Orange, FL 32128-6502
Ph: (571) 426-6061 | Dr Georgi Stamatov Dimov, DC
5400 S Williamson Blvd Apt 2-201,
Port Orange, FL 32128-6531
Ph: (571) 426-6061 |
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