Demetrios K Mavroidis, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Pomona, New Jersey. His current practice location is
65 W Jimmie Leeds Rd, Pomona, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 652-1000.
Demetrios K Mavroidis is licensed to practice in New Jersey (license number 25IA12362700) 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 1184602914.
Physician's Profile
| Full Name | Demetrios K Mavroidis |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 65 W Jimmie Leeds Rd, Pomona, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Demetrios K Mavroidis attended and graduated from in
NPI Data:
- NPI Number: 1184602914
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Demetrios K Mavroidis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184602914 | NPI | - | NPPES |
| 002018224 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 9145 (Nevada) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 25IA12362700 (New Jersey) | Primary |
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. Demetrios K Mavroidis 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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Demetrios K Mavroidis, MD
65 W Jimmie Leeds Rd,
Pomona, NJ 08240-9102
Ph: (609) 652-1000 | Demetrios K Mavroidis, MD
65 W Jimmie Leeds Rd,
Pomona, NJ 08240-9102
Ph: (609) 652-1000 |
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