Dr Dhimitri Elicia Gross, MD in Leonardtown, MD

Dr Dhimitri Elicia Gross, MD is a medicare enrolled "Family Medicine" physician in Leonardtown, Maryland. She went to University Of Maryland School Of Medicine and graduated in 1996 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Triad Health Systems, Inc., Triad Health Systems, Inc. and her current practice location is 23000 Moakley St, Leonardtown, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 744-1100.

Dr Dhimitri Elicia Gross is licensed to practice in Maryland (license number D0055146) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1750321220.

Contact Information

	Dr Dhimitri Elicia Gross, MD
	23000 Moakley St, Leonardtown, MD 20650-2915
	(240) 744-1100
	(855) 592-2119

Map and Direction

Physician's Profile

Full Name	Dr Dhimitri Elicia Gross
Gender	Female
Speciality	Family Practice
Experience	30 Years
Location	23000 Moakley St, Leonardtown, Maryland
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Dhimitri Elicia Gross attended and graduated from University Of Maryland School Of Medicine in 1996

NPI Data:

NPI Number: 1750321220
Provider Enumeration Date: 06/06/2006
Last Update Date: 12/19/2025

Medicare PECOS Information:

PECOS PAC ID: 2466499520
Enrollment ID: I20140502000922

Medical Identifiers

Medical identifiers for Dr Dhimitri Elicia Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750321220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	C4011 (Kentucky)	Secondary
207Q00000X	Family Medicine	D0055146 (Maryland)	Primary
207Q00000X	Family Medicine	MD490238C (Pennsylvania)	Secondary
207Q00000X	Family Medicine	0101222399 (Virginia)	Secondary
207Q00000X	Family Medicine	13585-320 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carroll County Memorial Hospital	Carrollton, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Triad Health Systems, Inc.	4082798699	20
Triad Health Systems, Inc.	4082798699	20

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dhimitri Elicia Gross allows following entities to bill medicare on her behalf.

Entity Name	Patient First Maryland Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265866503 PECOS PAC ID: 4385538735 Enrollment ID: O20140108000578

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. Dr Dhimitri Elicia Gross 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
Dr Dhimitri Elicia Gross, MD 1400 Wewatta St Ste 350, Denver, CO 80202-5553 Ph: () -	Dr Dhimitri Elicia Gross, MD 23000 Moakley St, Leonardtown, MD 20650-2915 Ph: (240) 744-1100

Reviews and Comments

Family Medicine Doctors in Leonardtown, MD

Dr. Meenakshi Garg Brewster, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21580 Peabody Street, Leonardtown, MD 20650 Phone: 301-475-4330 Fax: 301-475-9425
Monika G Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23130 Moakley St, Leonardtown, MD 20650 Phone: 301-997-0611 Fax: 301-997-0709
Lauren Marie Perz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23511 Hollywood Rd Ste 2, Leonardtown, MD 20650 Phone: 301-997-0611 Fax: 855-253-1610
Dr. Maria Lisa O'brien, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 41680 Miss Bessie Dr Ste 301, Leonardtown, MD 20650 Phone: 301-997-0055 Fax: 301-997-0066
Dr. Cheryl Shaw, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23511 Hollywood Rd, Leonardtown, MD 20650 Phone: 301-997-0611 Fax: 301-997-0709
Dr. Jennifer Merry Schmidt, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23140 Moakley St, Suite 2, Leonardtown, MD 20650 Phone: 301-997-0611

Dr Dhimitri Elicia Gross, MD - Medicare Family Practice in Leonardtown, MD