Kishore K Desagani, MD in Fullerton, CA - Medicare Psychiatry & Neurology

Kishore K Desagani, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fullerton, California. His current practice location is 101 E Valencia Mesa Dr, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (949) 689-0288.

Kishore K Desagani is licensed to practice in California (license number A99666) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427084839.

Contact Information

	Kishore K Desagani, MD
	101 E Valencia Mesa Dr, Fullerton, CA 92835-3809
	(949) 689-0288
	(949) 509-6599

Map and Direction

Physician's Profile

Full Name	Kishore K Desagani
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	101 E Valencia Mesa Dr, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427084839
Provider Enumeration Date: 06/25/2006
Last Update Date: 09/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1254305816
Enrollment ID: I20080604000493

Medical Identifiers

Medical identifiers for Kishore K Desagani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427084839	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A99666 (California)	Primary

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. Kishore K Desagani allows following entities to bill medicare on his behalf.

Entity Name	County Of Riverside
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107

Entity Name	Bridge Telehealth Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275266264 PECOS PAC ID: 4082097613 Enrollment ID: O20220815003445

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. Kishore K Desagani 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
Kishore K Desagani, MD 4199 Campus Dr Ste 550, Irvine, CA 92612-4694 Ph: (949) 689-0288	Kishore K Desagani, MD 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 Ph: (949) 689-0288

Reviews and Comments

Psychiatry & Neurology Doctors in Fullerton, CA

Dr. Hina Sidhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 N Harbor Blvd Ste 540, Fullerton, CA 92835 Phone: 714-871-9357 Fax: 714-871-9362
Dr. Chandrakanthi Y Sivalingam, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 680 Langsdorf Dr, Fullerton, CA 92831 Phone: 714-871-9264 Fax: 714-871-5032
Dr. Lowell Gordon Nelson, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1841 Avenida San Lorenzo, Fullerton, CA 92833 Phone: 714-743-6077
Dr. Marc A Charles, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1501 North Harbor Blvd, 203, Fullerton, CA 92835 Phone: 714-871-5411 Fax: 714-871-2401
Dr. Oscar Miclat Balilo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 211 W Commonwealth Ave, Fullerton, CA 92832 Phone: 714-447-7000
Scott George Turner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2151 N Harbor Blvd Ste 3100, Fullerton, CA 92835 Phone: 714-446-5830 Fax: 714-992-3037

Kishore K Desagani, MD - Medicare Psychiatry & Neurology in Fullerton, CA