Dimitrios Moustakas, DPM is a medicare enrolled "Podiatrist" provider in Smyrna, Delaware. He went to New York College Of Podiatric Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Brandywine Podiatry, Pa and his current practice location is
315 N Carter Rd, Smyrna, Delaware. You can reach out to his office (for appointments etc.) via phone at
(302) 730-4366.
Dimitrios Moustakas is licensed to practice in Delaware (license number E1-0000263) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982131173.
Healthcare Provider's Profile
Full Name | Dimitrios Moustakas |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 7 Years |
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Location | 315 N Carter Rd, Smyrna, Delaware |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dimitrios Moustakas attended and graduated from New York College Of Podiatric Medicine in 2017
NPI Data:
- NPI Number: 1982131173
- Provider Enumeration Date: 05/18/2017
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426472770
- Enrollment ID: I20200721000861
Medical Identifiers
Medical identifiers for Dimitrios Moustakas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982131173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | E1-0000263 (Delaware) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Brandywine Podiatry, Pa | 5597700682 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dimitrios Moustakas allows following entities to bill medicare on his behalf.
Provider Name | Brandywine Podiatry, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1730274069 PECOS PAC ID: 5597700682 Enrollment ID: O20050620000750 |
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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. Dimitrios Moustakas 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 |
Dimitrios Moustakas, DPM 640 S. State St, Mail Code 3055, Dover, DE 19901-3530 Ph: (302) 480-1688 | Dimitrios Moustakas, DPM 315 N Carter Rd, Smyrna, DE 19977-1282 Ph: (302) 730-4366 |
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