Mr Jaime Enrique Deseda, BS in Fort Wayne, IN

Mr Jaime Enrique Deseda, BS is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Fort Wayne, Indiana. His current practice location is 11104 Parkview Circle Dr Ste 410, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 266-7856.

Mr Jaime Enrique Deseda is licensed to practice in Indiana (license number 01089022A) 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 1629495098.

Contact Information

	Mr Jaime Enrique Deseda, BS
	11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845-0025
	(260) 266-7856
	(260) 266-5279

Map and Direction

Physician's Profile

Full Name	Mr Jaime Enrique Deseda
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	11104 Parkview Circle Dr Ste 410, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629495098
Provider Enumeration Date: 03/24/2014
Last Update Date: 06/08/2024

Medicare PECOS Information:

PECOS PAC ID: 1456638923
Enrollment ID: I20170510001886

Medical Identifiers

Medical identifiers for Mr Jaime Enrique Deseda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629495098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD15874 (Rhode Island)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	279096 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	279096 (Massachusetts)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	01089022A (Indiana)	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. Mr Jaime Enrique Deseda allows following entities to bill medicare on his behalf.

Entity Name	Brown Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689626764 PECOS PAC ID: 0446159776 Enrollment ID: O20040219000354

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. Mr Jaime Enrique Deseda 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
Mr Jaime Enrique Deseda, BS 30 Locust St, Northampton, MA 01060-2093 Ph: (413) 582-2000	Mr Jaime Enrique Deseda, BS 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845-0025 Ph: (260) 266-7856

Reviews and Comments

Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910
Ahmad Alhariri, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605
John T Ducker, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188
Mr. Kenneth A Smith, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255
Dr. Carl Marc Williams, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Mr Jaime Enrique Deseda, BS - Medicare Internal Medicine in Fort Wayne, IN