Amol Sudhakar Deshpande, MD is a medicare enrolled "Pediatrics" physician in Trinity, Texas. His current practice location is
315 Prospect Dr, Trinity, Texas. You can reach out to his office (for appointments etc.) via phone at
(936) 594-7375.
Amol Sudhakar Deshpande is licensed to practice in Texas (license number K5089) 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 1922140615.
Physician's Profile
Full Name | Amol Sudhakar Deshpande |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 315 Prospect Dr, Trinity, Texas |
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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: 1922140615
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 05/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 1355470089
- Enrollment ID: I20100518000834
Medical Identifiers
Medical identifiers for Amol Sudhakar Deshpande such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922140615 | NPI | - | NPPES |
029685702 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | K5089 (Texas) | 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. Amol Sudhakar Deshpande allows following entities to bill medicare on his behalf.
Entity Name | Memorial Multispecialty Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295789337 PECOS PAC ID: 1052390333 Enrollment ID: O20040719001519 |
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Entity Name | Baylor St Lukes Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
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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. Amol Sudhakar Deshpande 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 |
Amol Sudhakar Deshpande, MD 103 Hawthorn, Lufkin, TX 75904-5361 Ph: (936) 634-2128 | Amol Sudhakar Deshpande, MD 315 Prospect Dr, Trinity, TX 75862-6202 Ph: (936) 594-7375 |
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