Dr Demetri Alexander Koutsospyros, MD | |
111 E 210th St Dept Of, Bronx, NY 10467-2401 | |
(718) 920-6423 | |
(718) 881-2245 |
Full Name | Dr Demetri Alexander Koutsospyros |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 12 Years |
Location | 111 E 210th St Dept Of, Bronx, New York |
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 |
---|---|---|---|
1811336621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 287315 (New York) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 287315 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bl Pain Management Pllc | 2062776040 | 4 |
Entity Name | Montefiore Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Entity Name | Bl Pain Management Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922509769 PECOS PAC ID: 2062776040 Enrollment ID: O20180426002361 |
Mailing Address | Practice Location Address |
---|---|
Dr Demetri Alexander Koutsospyros, MD 111 E 210th St, Bronx, Ny 10467, Samantha Rawana, Department Of Anesthesiology, Bronx, NY 10467-2401 Ph: (718) 920-6423 | Dr Demetri Alexander Koutsospyros, MD 111 E 210th St Dept Of, Bronx, NY 10467-2401 Ph: (718) 920-6423 |
Anita Garg, D.O. Pain Medicine Medicare: Medicare Enrolled Practice Location: 2705 Williamsbridge Rd, Bronx, NY 10469 Phone: 718-231-5600 Fax: 347-980-2471 | |
Bryan Matthew Elzholz, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2008 Eastchester Rd # Level2, Bronx, NY 10461 Phone: 718-794-0600 | |
Joon S. Kim, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-6423 |