| Mrs Dessislava Dimotrova Iliev, MD | |
|
2500 North State Street, Department Of Anesthesiology, Suite S108-a, Jackson, MS 39216 | |
| (601) 984-5936 | |
| (601) 984-5939 |
| Full Name | Mrs Dessislava Dimotrova Iliev |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 30 Years |
| Location | 2500 North State Street, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982762845 | NPI | - | NPPES |
| 03620888 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 24023 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hudson Valley Hospital Center | Cortlandt manor, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hudson Health Anesthesia Pllc | 1052702883 | 43 |
| Hudson Ambulatory Medical Pllc | 9335531193 | 12 |
| Entity Name | North American Partners In Anesthesia Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
| Entity Name | Premier Medical Group Of The Hudson Valley Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255437166 PECOS PAC ID: 3072575109 Enrollment ID: O20070301000268 |
| Entity Name | Singular Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881086718 PECOS PAC ID: 7618284092 Enrollment ID: O20150917000516 |
| Entity Name | Hudson Health Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619633898 PECOS PAC ID: 1052702883 Enrollment ID: O20220105000257 |
| Entity Name | Hudson Ambulatory Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447917596 PECOS PAC ID: 9335531193 Enrollment ID: O20220128000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dessislava Dimotrova Iliev, MD 2500 North State Street, Department Of Anesthesiology, Suite S108-a, Jackson, MS 39216 Ph: (601) 984-5936 | Mrs Dessislava Dimotrova Iliev, MD 2500 North State Street, Department Of Anesthesiology, Suite S108-a, Jackson, MS 39216 Ph: (601) 984-5936 |
Stephen Commiskey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Jessica Safley, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Dr. Larkin H Mitchell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 | |
Dr. Daniel Castillo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept Of Anesthesiology, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Edwin P Sudduth, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 202, Jackson, MS 39216 Phone: 601-362-1990 Fax: 601-362-1988 | |
Dr. Melissa Johnson Pippin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 901-270-4898 | |
Dr. Martha Elizabeth Fernandez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 |