Dr Mark T Destache, MD in Saint Paul, MN

Dr Mark T Destache, MD is a medicare enrolled "Anesthesiology" physician in Saint Paul, Minnesota. He went to Indiana University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Metropolitan Anesthesia Network Llp, Northwestern Medical Faculty Foundation and his current practice location is 333 Smith Ave N, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 735-0501.

Dr Mark T Destache is licensed to practice in Minnesota (license number 34185) 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 1023129483.

Contact Information

	Dr Mark T Destache, MD
	333 Smith Ave N, Saint Paul, MN 55102-2344
	(651) 735-0501
	(651) 735-1870

Map and Direction

Physician's Profile

Full Name	Dr Mark T Destache
Gender	Male
Speciality	Anesthesiology
Experience	37 Years
Location	333 Smith Ave N, Saint Paul, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark T Destache attended and graduated from Indiana University School Of Medicine in 1987

NPI Data:

NPI Number: 1023129483
Provider Enumeration Date: 08/31/2006
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 6608069927
Enrollment ID: I20101019001396

Medical Identifiers

Medical identifiers for Dr Mark T Destache such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023129483	NPI	-	NPPES
581807900	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	036159952 (Illinois)	Secondary
207L00000X	Anesthesiology	34185 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Delnor Community Hospital	Geneva, IL	Hospital
Allina United Hospital	Saint paul, MN	Hospital
Abbott Northwestern Hospital	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Metropolitan Anesthesia Network Llp	5698689123	632
Northwestern Medical Faculty Foundation	4587576814	3352

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 Mark T Destache allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Anesthesia Network Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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 Mark T Destache 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 Mark T Destache, MD 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021	Dr Mark T Destache, MD 333 Smith Ave N, Saint Paul, MN 55102-2344 Ph: (651) 735-0501

Reviews and Comments

Anesthesiology Doctors in Saint Paul, MN

Nancy K Thorvilson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560
Thomas Laberge, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560
Robert Gorman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560
Dr. Reid A Martinson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870
Deanna Siliciano, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560
Sena Kihtir, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 Smith Ave N Ste 100, Saint Paul, MN 55102 Phone: 651-241-7246

Dr Mark T Destache, MD - Medicare Anesthesiology in Saint Paul, MN