| 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 |
| Experience | 31 Years |
| Location | 2400 S Hwy 27, Clermont, 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. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcr Health Inc | 7214847995 | 132 |
| Health Care Center For The Homeless Inc | 6103895107 | 51 |
| Ace Behavioral Health Llc | 2668984675 | 38 |
| 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 |
| Entity Name | Health Care Center for the Homeless Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235213216 PECOS PAC ID: 6103895107 Enrollment ID: O20101019001089 |
| Entity Name | Citrus County Rural Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740931831 PECOS PAC ID: 0648664698 Enrollment ID: O20220308001949 |
| Entity Name | Coastal Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851131874 PECOS PAC ID: 0345463683 Enrollment ID: O20241112000857 |
| Entity Name | Ace Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841094885 PECOS PAC ID: 2668984675 Enrollment ID: O20250625002040 |
| 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: Not Enrolled in Medicare Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-394-5922 Fax: 352-315-7587 |
Julius David Moore Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled 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: Accepting Medicare Assignments 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: Accepting 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 |
Raam Sambandam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2753 Citrus Tower Blvd, Clermont, FL 34711 Phone: 352-404-7570 Fax: 352-404-7573 |