| Dr Gus Mitsopoulos, MD | |
|
100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | |
| (813) 899-6220 | |
| (813) 985-8006 |
| Full Name | Dr Gus Mitsopoulos |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 100 South Ashley Drive, Tampa, Florida |
| 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 |
|---|---|---|---|
| 1750669032 | NPI | - | NPPES |
| 012467100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME119893 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME119893 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oak Hill Hospital | Brooksville, FL | Hospital |
| South Bay Hospital | Sun city center, FL | Hospital |
| Bayfront Health Brooksville | Brooksville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | North Brevard Medical Support Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609834886 PECOS PAC ID: 7618870296 Enrollment ID: O20040130000385 |
| Entity Name | Medical Technology Transfer Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104947217 PECOS PAC ID: 1658265079 Enrollment ID: O20040209000360 |
| Entity Name | Tower Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467654244 PECOS PAC ID: 2860470077 Enrollment ID: O20040713000446 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20170602001215 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gus Mitsopoulos, MD 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 Ph: (813) 899-6220 | Dr Gus Mitsopoulos, MD 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 Ph: (813) 899-6220 |
Mr. Niema Brandon Razavian, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 137-457-3658 Fax: 813-449-8618 | |
Joshua Vernon Wright, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 Fax: 813-449-8618 | |
Dr. Justin S. Lee, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-253-2721 Fax: 813-254-4597 | |
Dr. Babu Zachariah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7667 Fax: 813-978-5805 | |
Dr. Robert Joseph Novaco, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6001 Webb Rd, Tampa, FL 33615 Phone: 201-452-8794 | |
Dr. Elias H Salloum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-7365 Fax: 813-449-8618 | |
Wei Lue Tong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-7365 Fax: 813-449-8618 |