Dr Evaggelos Gary Mitrevolis, MD - Medicare Preventive Medicine in Aliso Viejo, CA

Dr Evaggelos Gary Mitrevolis, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Aliso Viejo, California. His current practice location is 24552 Pacific Park Dr, Aliso Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 446-0099.

Dr Evaggelos Gary Mitrevolis is licensed to practice in California (license number C164635) 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 1154632990.

Contact Information

Dr Evaggelos Gary Mitrevolis, MD
24552 Pacific Park Dr,
Aliso Viejo, CA 92656-3055
(949) 446-0099
(949) 606-9297



Physician's Profile

Full NameDr Evaggelos Gary Mitrevolis
GenderMale
SpecialityPreventive Medicine - Addiction Medicine
Location24552 Pacific Park Dr, Aliso Viejo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154632990
  • Provider Enumeration Date: 06/26/2010
  • Last Update Date: 04/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224270871
  • Enrollment ID: I20130809000424

Medical Identifiers

Medical identifiers for Dr Evaggelos Gary Mitrevolis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154632990NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine C164635 (California)Secondary
2083A0300XPreventive Medicine - Addiction Medicine C164635 (California)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. Dr Evaggelos Gary Mitrevolis allows following entities to bill medicare on his behalf.
Entity NameWentworth Douglass Physician Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447352430
PECOS PAC ID: 5496749848
Enrollment ID: O20040409000433

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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. Dr Evaggelos Gary Mitrevolis 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
Dr Evaggelos Gary Mitrevolis, MD
174 Firefly,
Irvine, CA 92618-8886

Ph: (949) 680-7760
Dr Evaggelos Gary Mitrevolis, MD
24552 Pacific Park Dr,
Aliso Viejo, CA 92656-3055

Ph: (949) 446-0099

News Archive

Advaxis confirms long-term stability of its first clinical formulation of ADXS11-001

Advaxis, Inc., the live, attenuated Listeria monocytogenes (Listeria) immunotherapy company, has confirmed the long-term stability of its first clinical formulation of ADXS11-001, the Company's lead immunotherapeutic.

Roundup: Okla.'s health reform lawsuit; Medicaid issues draw attention in Texas, N.Y., N.J.

Gov. Andrew Cuomo's alliance with the state's health-care union and hospital lobby is drawing fire from some patient advocates, who question the governor's decision to give the powerful industry figures a front-and-center role in the process of overhauling Medicaid (Gershman, 1/8).

UVA scientists find potential explanation for mysterious cell death in Alzheimer's, Parkinson's

Scientists at the University of Virginia School of Medicine have identified a potential explanation for the mysterious death of specific brain cells seen in Alzheimer's, Parkinson's and other neurodegenerative diseases.

WHO Director-General calls for sustainable development, investment to address social determinants of health

"Representatives from more than 100 governments around the world, health experts, civil society organizations and other stakeholders are converging in Rio de Janeiro, Brazil for three days" at the WHO-convened World Conference on Social Determinants of Health "to discuss how social, economic and environmental conditions could be improved to reduce the health gaps within and between countries," a WHO press release states.

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Preventive Medicine Doctors in Aliso Viejo, CA


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