Dimitri Misailidis, MD - Medicare Radiology in Martinsburg, WV

Dimitri Misailidis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Martinsburg, West Virginia. His current practice location is 300 Foxcroft Ave, Suite 202b, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 263-4967.

Dimitri Misailidis is licensed to practice in West Virginia (license number 15875) 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 1053356204.

Contact Information

Dimitri Misailidis, MD
300 Foxcroft Ave, Suite 202b,
Martinsburg, WV 25401-5341
(304) 263-4967
(304) 267-5461



Physician's Profile

Full NameDimitri Misailidis
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location300 Foxcroft Ave, Martinsburg, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053356204
  • Provider Enumeration Date: 06/19/2006
  • Last Update Date: 02/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9638129216
  • Enrollment ID: I20110319000082

Medical Identifiers

Medical identifiers for Dimitri Misailidis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053356204NPI-NPPES
000848955OtherWVWV BCBS
0118129000MedicaidWV
535851500MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 15875 (West Virginia)Primary

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. Dimitri Misailidis allows following entities to bill medicare on his behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207

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Entity NameMartinsburg Radiology Assoc Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922092568
PECOS PAC ID: 5496705071
Enrollment ID: O20050201000184

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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. Dimitri Misailidis 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 AddressPractice Location Address
Dimitri Misailidis, MD
300 Foxcroft Ave, Suite 202b,
Martinsburg, WV 25401-5341

Ph: (304) 263-4967
Dimitri Misailidis, MD
300 Foxcroft Ave, Suite 202b,
Martinsburg, WV 25401-5341

Ph: (304) 263-4967

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Radiology Doctors in Martinsburg, WV

Dr. David Long Lawrence, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 510 Butler Ave, Imaging Service, Martinsburg, WV 25401
Phone: 304-263-0811    
John Louis Blanco, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401
Phone: 304-263-4967    Fax: 304-267-0974
Dr. Peter Markovic, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 510 Butler Ave, Imaging Service, Martinsburg, WV 25401
Phone: 304-263-0811    
Edward W. Kiggundu, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Foundation Way, Suite 1100, Martinsburg, WV 25401
Phone: 304-262-8800    Fax: 304-262-8203
Dr. Vivek Padha, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Foxcroft Ave, Suite 202b B, Martinsburg, WV 25401
Phone: 304-263-4967    Fax: 304-267-5461
Hojoon Jung, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401
Phone: 304-263-4967    Fax: 304-267-5461

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