Dr Rene Christopher Desselle, DDS is a medicare enrolled "Dentist" provider in Mansura, Louisiana. His current practice location is
1837 Leglise St, Mansura, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 964-2300.
Dr Rene Christopher Desselle is licensed to practice in Louisiana (license number 4064) 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 1285693788.
Healthcare Provider's Profile
Full Name | Dr Rene Christopher Desselle |
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Gender | Male |
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Speciality | Dentist |
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Location | 1837 Leglise St, Mansura, Louisiana |
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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: 1285693788
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6305146713
- Enrollment ID: I20151207002309
Medical Identifiers
Medical identifiers for Dr Rene Christopher Desselle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285693788 | NPI | - | NPPES |
1840645 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4064 (Louisiana) | 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 Rene Christopher Desselle 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 Rene Christopher Desselle, DDS 1837 Leglise St, Po Box 250, Mansura, LA 71350 Ph: (318) 964-2300 | Dr Rene Christopher Desselle, DDS 1837 Leglise St, Mansura, LA 71350 Ph: (318) 964-2300 |
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