Dr Dima Ezzedine, MD - Medicare Obstetrics & Gynecology in Plymouth, MA

  1. Home
  2. Obstetrics & Gynecology
  3. MA
  4. Plymouth
Dr Dima Ezzedine, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Plymouth, Massachusetts. Her current practice location is 45 Home Depot Dr Ste 100, Plymouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 762-0471.

Dr Dima Ezzedine is licensed to practice in Massachusetts (license number 264000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922480391.

Contact Information

Dr Dima Ezzedine, MD
45 Home Depot Dr Ste 100,
Plymouth, MA 02360-2669
(781) 762-0471
(973) 290-7520

Map and Direction




Physician's Profile

Full NameDr Dima Ezzedine
GenderFemale
SpecialityObstetrics & Gynecology
Location45 Home Depot Dr Ste 100, Plymouth, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922480391
  • Provider Enumeration Date: 06/22/2015
  • Last Update Date: 02/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234428905
  • Enrollment ID: I20221223000994

Medical Identifiers

Medical identifiers for Dr Dima Ezzedine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922480391NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 264000 (Massachusetts)Primary

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 Dima Ezzedine allows following entities to bill medicare on her behalf.
Entity NameGreater Boston Urology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003120411
PECOS PAC ID: 1153516513
Enrollment ID: O20101110001263
Entity NameGreater Boston Urology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003120411
PECOS PAC ID: 1153516513
Enrollment ID: O20101111000020

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 Dima Ezzedine 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 AddressPractice Location Address
Dr Dima Ezzedine, MD
115 Lincoln St,
Framingham, MA 01702-6358

Ph: (508) 383-1000		Dr Dima Ezzedine, MD
45 Home Depot Dr Ste 100,
Plymouth, MA 02360-2669

Ph: (781) 762-0471

Reviews and Comments


Obstetrics & Gynecology Doctors in Plymouth, MA

Joel J Baron, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2 Driftwood Ln, Plymouth, MA 02360
Phone: 508-746-0901    
Deborah S Wooten-angelo, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Court St, 4th Floor Unit 8, Plymouth, MA 02360
Phone: 508-732-7327    Fax: 508-746-1958
Sanford E Leslie, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 147 Court St, Plymouth, MA 02360
Phone: 508-747-0330    
Dr. Juliann Corsini, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 110 Long Pond Road, Suite 101, Plymouth, MA 02360
Phone: 508-746-1434    Fax: 508-746-2209
Dr. Lara Elizabeth Hilton Kingston, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 275 Sandwich St, Plymouth, MA 02360
Phone: 508-746-2000    
Maryanne C Bombaugh, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 118 Long Pond Rd, Plymouth, MA 02360
Phone: 508-830-3190    Fax: 781-340-3782

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.