Dr Marshall Matthew Desantis, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Hudson, Florida. Dr Marshall Matthew Desantis is licensed to practice in Florida (license number ME53627) and his current practice location is 14100 Fivay Rd, Suite 300, Hudson, Florida. He can be reached at his office (for appointments etc.) via phone at
(727) 869-7497.
NPI number for Dr Marshall Matthew Desantis is 1467542498 and his current mailing address is 14100 Fivay Rd, Suite 300, Hudson, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467542498.
Physician's Profile
| Full Name | Dr Marshall Matthew Desantis |
|---|
| Gender | Male |
|---|
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|
| Location | 14100 Fivay Rd, Hudson, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467542498
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 05/27/2008
Medical Identifiers
Medical identifiers for Dr Marshall Matthew Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467542498 | NPI | - | NPPES |
| 07035 | Other | FL | BCBS FLORIDA |
| 083596 | Other | | AVMED |
| 048693100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME0053627 (Florida) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME53627 (Florida) | Primary |
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 Marshall Matthew Desantis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marshall Matthew Desantis, MD
14100 Fivay Rd, Suite 300,
Hudson, FL 34667-7180
Ph: (727) 869-7497 | Dr Marshall Matthew Desantis, MD
14100 Fivay Rd, Suite 300,
Hudson, FL 34667-7180
Ph: (727) 869-7497 |
Reviews and Comments