Larissa M Dimitrov, MD - Medicare Family Practice in Shoreview, MN

Larissa M Dimitrov, MD is a medicare enrolled "Family Medicine" physician in Shoreview, Minnesota. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Allina Health System and her current practice location is 4166 Lexington Ave N, Shoreview, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 483-5461.

Larissa M Dimitrov is licensed to practice in Minnesota (license number 72958) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386827053.

Contact Information

Larissa M Dimitrov, MD
4166 Lexington Ave N,
Shoreview, MN 55126-6106
(651) 483-5461
Not Available



Physician's Profile

Full NameLarissa M Dimitrov
GenderFemale
SpecialityFamily Practice
Experience33 Years
Location4166 Lexington Ave N, Shoreview, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larissa M Dimitrov graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1386827053
  • Provider Enumeration Date: 12/17/2007
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002990462
  • Enrollment ID: I20230814002070

Medical Identifiers

Medical identifiers for Larissa M Dimitrov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386827053NPI-NPPES
01062576AOtherINLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine 72958 (Minnesota)Secondary
207Q00000XFamily Medicine 72958 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy HospitalCoon rapids, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133071

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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. Larissa M Dimitrov allows following entities to bill medicare on her behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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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. Larissa M 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 AddressPractice Location Address
Larissa M Dimitrov, MD
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-9000
Larissa M Dimitrov, MD
4166 Lexington Ave N,
Shoreview, MN 55126-6106

Ph: (651) 483-5461

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Family Medicine Doctors in Shoreview, MN

John Paul Lundgren, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126
Phone: 651-483-5461    
Elizabeth A Detlie, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 404 Highway 96 W, Shoreview, MN 55126
Phone: 651-483-8283    Fax: 651-483-8299
Lizabeth E. Larson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126
Phone: 651-483-5461    
Brandy Lee Utter, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126
Phone: 651-483-5461    
Jeffrey Nelson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126
Phone: 612-804-2522    
Matthew C Monteiro, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 404 Highway 96 W, Shoreview, MN 55126
Phone: 651-483-8283    Fax: 651-483-8299
Dr. Seth A Vogel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126
Phone: 651-483-5461    

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