Dr Konstantin Dzamashvili, MD in Fort Myers, FL

Dr Konstantin Dzamashvili, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fort Myers, Florida. He graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Florida Neurology Group P L and his current practice location is 12670 Whitehall Dr, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 936-3554.

Dr Konstantin Dzamashvili is licensed to practice in Florida (license number ME126918) 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 1174529085.

Contact Information

	Dr Konstantin Dzamashvili, MD
	12670 Whitehall Dr, Fort Myers, FL 33907-3619
	(239) 936-3554
	(239) 936-8993

Map and Direction

Physician's Profile

Full Name	Dr Konstantin Dzamashvili
Gender	Male
Speciality	Neurology
Experience	51 Years
Location	12670 Whitehall Dr, Fort Myers, Florida
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:

Dr Konstantin Dzamashvili graduated from medical school in 1973

NPI Data:

NPI Number: 1174529085
Provider Enumeration Date: 06/24/2005
Last Update Date: 11/18/2016

Medicare PECOS Information:

PECOS PAC ID: 7517953607
Enrollment ID: I20160812001746

Medical Identifiers

Medical identifiers for Dr Konstantin Dzamashvili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174529085	NPI	-	NPPES
206147046	Other		MEDICARE PTAN (INDIVIDUAL)
CA4748	Other		MEDICARE RAILROAD (GROUP)
206147	Other		MEDICARE PTAN (GROUP)
036093821	Other	IL	STATE LICENSE
036093821	Medicaid	IL
P00904562	Other		MEDICARE RAILROAD (PROVIDER)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	036093821 (Illinois)	Secondary
2084V0102X	Psychiatry & Neurology - Vascular Neurology	036093821 (Illinois)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	ME126918 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lee Memorial Hospital	Fort myers, FL	Hospital
Cape Coral Hospital	Cape coral, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Neurology Group P L	0840286407	10

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 Konstantin Dzamashvili allows following entities to bill medicare on his behalf.

Entity Name	Florida Neurology Group P L
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962497669 PECOS PAC ID: 0840286407 Enrollment ID: O20050720000536

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 Konstantin Dzamashvili 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
Dr Konstantin Dzamashvili, MD 12670 Whitehall Dr, Fort Myers, FL 33907-3619 Ph: (239) 936-3554	Dr Konstantin Dzamashvili, MD 12670 Whitehall Dr, Fort Myers, FL 33907-3619 Ph: (239) 936-3554

Reviews and Comments

Psychiatry & Neurology Doctors in Fort Myers, FL

Stanley Garken Lue, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 Fax: 239-208-3994
Felix Gabriel Rivera - Perez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212
Erica Rene Wilt, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966 Phone: 239-208-2206
Ellie Frazey, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212
Dr. Mark Adam Giordano, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907 Phone: 239-343-9180 Fax: 239-343-9188
Gustavo Silveira E Silva, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966 Phone: 239-208-2206
Dr. Deepa Vaduthalakuzhy Luka, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15901 Bass Rd Ste 108, Fort Myers, FL 33908 Phone: 239-343-6050 Fax: 239-343-6051

Dr Konstantin Dzamashvili, MD - Medicare Neurology in Fort Myers, FL