Mr Mario Klimentov Dimitrov, PA-C in Randallstown, MD

Mr Mario Klimentov Dimitrov, PA-C is a medicare enrolled "Physician Assistant - Medical" in Randallstown, Maryland. His current practice location is 5401 Old Court Road, Northwest Hospital Center, Randallstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 521-2200.

Mr Mario Klimentov Dimitrov is licensed to practice in Maryland (license number C0002204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013939255.

Contact Information

	Mr Mario Klimentov Dimitrov, PA-C
	5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133
	(410) 521-2200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mario Klimentov Dimitrov
Gender	Male
Speciality	Physician Assistant - Medical
Location	5401 Old Court Road, Randallstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013939255
Provider Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7012914682
Enrollment ID: I20121207000340

Medical Identifiers

Medical identifiers for Mr Mario Klimentov Dimitrov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013939255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	C0002204 (Maryland)	Primary

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. Mr Mario Klimentov Dimitrov 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
Mr Mario Klimentov Dimitrov, PA-C 5401 Old Court Rd, Attn: Credentialing, Randallstown, MD 21133-5103 Ph: (410) 601-5524	Mr Mario Klimentov Dimitrov, PA-C 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133 Ph: (410) 521-2200

Reviews and Comments

Physician Assistant Nurses in Randallstown, MD

Ms. Shannon Lynn Watts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Scott W Stromberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Haramrit Rajan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Ms. Mindi N Valuckas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Ms. Jessica L. Ridgely, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Bethany Kate Heaton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200

Mr Mario Klimentov Dimitrov, PA-C - Medicare Physician Assistant in Randallstown, MD