Dr Liautaud Morin Prophete Sr, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Los Banos, California. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1997 and has 27 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is
502 Washington Ave, Los Banos, California. You can reach out to his office (for appointments etc.) via phone at
(209) 826-4771.
Dr Liautaud Morin Prophete Sr is licensed to practice in California (license number 20A9842) 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 1134219264.
Physician's Profile
| Full Name | Dr Liautaud Morin Prophete Sr |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 27 Years |
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| Location | 502 Washington Ave, Los Banos, California |
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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 Liautaud Morin Prophete Sr attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1997
NPI Data:
- NPI Number: 1134219264
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012980170
- Enrollment ID: I20080521000835
Medical Identifiers
Medical identifiers for Dr Liautaud Morin Prophete Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134219264 | NPI | - | NPPES |
| 00AX98420 | Medicaid | CA | |
| 01239531 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 20A9842 (California) | Primary |
Medical Facilities Affiliation
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 Liautaud Morin Prophete Sr allows following entities to bill medicare on his behalf.
| Entity Name | Prophete Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568658086
PECOS PAC ID: 8325126683
Enrollment ID: O20150903003044 |
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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 Liautaud Morin Prophete Sr 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 Liautaud Morin Prophete Sr, DO
502 Washington Ave,
Los Banos, CA 93635-4649
Ph: (209) 826-4771 | Dr Liautaud Morin Prophete Sr, DO
502 Washington Ave,
Los Banos, CA 93635-4649
Ph: (209) 826-4771 |
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