Dr David William Demello, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Clinton Township, Michigan. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1977 and has 47 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Repose Pllc and his current practice location is
36539 Harper Ave, Clinton Township, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 900-8225.
Dr David William Demello is licensed to practice in Michigan (license number DD07358) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639375884.
Physician's Profile
| Full Name | Dr David William Demello |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 47 Years |
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| Location | 36539 Harper Ave, Clinton Township, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David William Demello attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1977
NPI Data:
- NPI Number: 1639375884
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 01/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759398910
- Enrollment ID: I20060314000320
Medical Identifiers
Medical identifiers for Dr David William Demello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639375884 | NPI | - | NPPES |
| 4939290 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | DD07358 (Michigan) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Mclaren Macomb | Mount clemens, MI | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Repose Pllc | 2769854579 | 4 |
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 David William Demello allows following entities to bill medicare on his behalf.
| Entity Name | Repose Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144944349
PECOS PAC ID: 2769854579
Enrollment ID: O20230203001742 |
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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 David William Demello 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 David William Demello, DO
120 Park Ave Ste 1,
Beaver Dam, WI 53916-2132
Ph: (920) 885-5225 | Dr David William Demello, DO
36539 Harper Ave,
Clinton Township, MI 48035-2012
Ph: (586) 900-8225 |
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