Dr Robert A Desantis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ellisville, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice South Central Clinics, Inc and his current practice location is
1203 Ave B, Ellisville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 477-8553.
Dr Robert A Desantis is licensed to practice in Mississippi (license number 13169) 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 1053350223.
Physician's Profile
| Full Name | Dr Robert A Desantis |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 33 Years |
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| Location | 1203 Ave B, Ellisville, Mississippi |
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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 Robert A Desantis attended and graduated from University Of Mississippi School Of Medicine in 1991
NPI Data:
- NPI Number: 1053350223
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 03/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931097607
- Enrollment ID: I20040616000654
Medical Identifiers
Medical identifiers for Dr Robert A Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053350223 | NPI | - | NPPES |
| 00119497 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 31288 (Alabama) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 13169 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| South Central Clinics, Inc | 4385876655 | 100 |
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 Robert A Desantis allows following entities to bill medicare on his behalf.
| Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575 |
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| Entity Name | South Central Clinics, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801226287
PECOS PAC ID: 4385876655
Enrollment ID: O20140515000834 |
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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 Robert A Desantis 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 Robert A Desantis, MD
Po Box 247,
Laurel, MS 39441-0247
Ph: (601) 649-9904 | Dr Robert A Desantis, MD
1203 Ave B,
Ellisville, MS 39437-2080
Ph: (601) 477-8553 |
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