| Dimitrios Hatzivlassiou, MD, PHD | |
|
2400 S Hwy 27, Suite 4309, Clermont, FL 34711-6816 | |
| (352) 353-0557 | |
| Not Available |
| Full Name | Dimitrios Hatzivlassiou |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2400 S Hwy 27, Clermont, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992769400 | NPI | - | NPPES |
| 03387 | Other | FL | BLUE CROSS BLUE SHIELD # |
| 267232400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME 84252 (Florida) | Primary |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Dimitrios Hatzivlassiou, MD, PHD 2400 S Hwy 27, Suite 4309, Clermont, FL 34711-6816 Ph: (352) 353-0557 | Dimitrios Hatzivlassiou, MD, PHD 2400 S Hwy 27, Suite 4309, Clermont, FL 34711-6816 Ph: (352) 353-0557 |
Dr. Carol A Couts, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-394-5922 Fax: 352-315-7587 | |
Dr. Raymond Iglecia - Fernandez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2440 Hooks St, Clermont, FL 34711 Phone: 352-394-0833 Fax: 523-394-0367 | |
Julius David Moore Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17075 Cagan Ridge Blvd Ste 100, Clermont, FL 34714 Phone: 863-588-4775 | |
Maria L Valdes, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-394-5922 Fax: 352-315-7587 | |
Dr. Roberto Gouthman Jr., DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 297 E Hwy 50 Ste 1, Clermont, FL 34711 Phone: 786-843-5463 Fax: 830-402-4521 | |
Pritha Dhungana, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 835 Oakley Seaver Drive, Bldg J, Clermont, FL 34711 Phone: 352-330-2020 Fax: 352-330-2020 | |
Olga Sanford, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3200 Citrus Tower Blvd, Clermont, FL 34711 Phone: 352-536-8200 |