Dr Stephen Matthew Dimaggio, MD, PHARMD, RPH is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Memphis, Tennessee. His current practice location is
920 Madison Ave Ste 447, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 448-5814.
Dr Stephen Matthew Dimaggio is licensed to practice in * (Not Available) (license number ) 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 1851994651.
Healthcare Provider's Profile
| Full Name | Dr Stephen Matthew Dimaggio |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 920 Madison Ave Ste 447, Memphis, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851994651
- Provider Enumeration Date: 11/16/2020
- Last Update Date: 04/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880106954
- Enrollment ID: I20250624003271
Medical Identifiers
Medical identifiers for Dr Stephen Matthew Dimaggio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851994651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 183500000X | Pharmacist | 28RI03887100 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Stephen Matthew Dimaggio 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 |
Dr Stephen Matthew Dimaggio, MD, PHARMD, RPH 920 Madison Ave, Memphis, TN 38103-3438 Ph: (901) 448-3714 | Dr Stephen Matthew Dimaggio, MD, PHARMD, RPH 920 Madison Ave Ste 447, Memphis, TN 38103-3438 Ph: (901) 448-5814 |
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