Michael Dejesus, MD is a medicare enrolled "Family Medicine" physician in Barneveld, New York. His current practice location is
7980 State Route 12, Barneveld, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 624-8440.
Michael Dejesus is licensed to practice in New York (license number 137801) 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 1528161338.
Physician's Profile
| Full Name | Michael Dejesus |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 7980 State Route 12, Barneveld, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528161338
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 03/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 0446290308
- Enrollment ID: I20050510000675
Medical Identifiers
Medical identifiers for Michael Dejesus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528161338 | NPI | - | NPPES |
| 137801 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 137801 (New York) | 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. Michael Dejesus allows following entities to bill medicare on his behalf.
| Entity Name | Upstate Cerebral Palsy Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780636506
PECOS PAC ID: 5496734758
Enrollment ID: O20040719001380 |
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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. Michael Dejesus 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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Michael Dejesus, MD
5596 Military Rd,
Remsen, NY 13438-6008
Ph: () - | Michael Dejesus, MD
7980 State Route 12,
Barneveld, NY 13304-2536
Ph: (315) 624-8440 |
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