Dr Craig Depodesta, DO is a medicare enrolled "Family Medicine" physician in Lauderdale By The Sea, Florida. His current practice location is
231b Commercial Blvd, Lauderdale By The Sea, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 530-1600.
Dr Craig Depodesta is licensed to practice in Florida (license number OS8042) 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 1497750376.
Physician's Profile
| Full Name | Dr Craig Depodesta |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 231b Commercial Blvd, Lauderdale By The Sea, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497750376
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 11/05/2009
Medicare PECOS Information:
- PECOS PAC ID: 0345497145
- Enrollment ID: I20120830000270
Medical Identifiers
Medical identifiers for Dr Craig Depodesta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497750376 | NPI | - | NPPES |
| 261110400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OS8042 (Florida) | 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 Craig Depodesta allows following entities to bill medicare on his behalf.
| Entity Name | Harbor Palliative Care Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710283015
PECOS PAC ID: 3476738527
Enrollment ID: O20110504000801 |
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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 Craig Depodesta 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 |
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Dr Craig Depodesta, DO
Po Box 132,
Pompano Beach, FL 33061-0132
Ph: (954) 530-1600 | Dr Craig Depodesta, DO
231b Commercial Blvd,
Lauderdale By The Sea, FL 33308-4441
Ph: (954) 530-1600 |
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