| Dr Dimitri Serge Merine, MD | |
|
21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | |
| (410) 356-8186 | |
| (410) 356-4180 |
| Full Name | Dr Dimitri Serge Merine |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 21 Crossroads Dr, Owings Mills, Maryland |
| 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 |
|---|---|---|---|
| 1710950944 | NPI | - | NPPES |
| KA80 | Other | MD | B/C B/S |
| 546661000 | Medicaid | MD | |
| J062 | Other | MD | B/C B/S |
| 2849 | Other | DC | B/C B/S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | D0037021 (Maryland) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | D0037021 (Maryland) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Union Memorial Hospital | Baltimore, MD | Hospital |
| Medstar Good Samaritan Hospital | Baltimore, MD | Hospital |
| Medstar Franklin Square Medical Center | Baltimore, MD | Hospital |
| Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
| Medstar Washington Hospital Center | Washington, DC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Medstar Medical Group - Southern Maryland Llc | 1355667056 | 224 |
| Physician Imaging Of Washington Hospital Center Llc | 6204910292 | 86 |
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Physician Imaging Of Washington Hospital Center Llc | 6204910292 | 86 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Entity Name | Medstar Medical Group Radiology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20140822001847 |
| Entity Name | Medstar Medical Group - Southern Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592211 PECOS PAC ID: 1355667056 Enrollment ID: O20150223001281 |
| Entity Name | Physician Imaging Of Washington Hospital Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700246022 PECOS PAC ID: 6204910292 Enrollment ID: O20160407000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dimitri Serge Merine, MD 10373a Reisterstown Rd, Owings Mills, MD 21117-3617 Ph: (410) 356-8186 | Dr Dimitri Serge Merine, MD 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 Ph: (410) 356-8186 |
Dr. Elizabeth Leonard Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Ronald Jeffrey Stanfield, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Darryl Jay Garfinkel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Brian Mark Monroe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Laurie Ann Abrams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Faysal Mudarris, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 | |
Dr. Christopher Marsh Harvey, M.D., F.A.C.R. Radiology Medicare: Not Enrolled in Medicare Practice Location: 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117 Phone: 410-356-8186 Fax: 410-356-4180 |