| Dimitris Gerothanassis, MD | |
| 2825 E Barnett Rd, Medford, OR 97504-8332 | |
| (541) 891-7000 | |
| Not Available | 
| Full Name | Dimitris Gerothanassis | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 2825 E Barnett Rd, Medford, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124134069 | NPI | - | NPPES | 
| 2134489 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 226334 (Massachusetts) | Primary | 
| Entity Name | Commonwealth Healthcare Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dimitris Gerothanassis, MD 3115 Alameda St Apt 23, Medford, OR 97504-9677 Ph: () - | Dimitris Gerothanassis, MD 2825 E Barnett Rd, Medford, OR 97504-8332 Ph: (541) 891-7000 | 
| John H Rennick, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3156 State St, Medford, OR 97504 Phone: 541-476-2373 | |
| Linda Young, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 140 South Holly Street, Medford, OR 97501 Phone: 541-774-8200 Fax: 541-774-7964 | |
| Oscar Adolfo Sanchez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Medford, OR 97504 Phone: 541-789-5710 Fax: 541-789-5713 | |
| Dr. William Brendon Haynal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Drive, Suite 300 B, Medford, OR 97504 Phone: 541-789-8100 Fax: 541-789-8101 | |
| Michael Steven Narus, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 920 Royal Ave, Medford, OR 97504 Phone: 541-732-8400 Fax: 541-732-8401 | |
| Dr. Sam Scott Sorrentino, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Beatty, Medford, OR 97501 Phone: 541-476-2373 |