Nicole Anna Desantis, DO - Medicare Family Medicine in Davidson, NC

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Nicole Anna Desantis, DO is a medicare enrolled "Family Medicine" physician in Davidson, North Carolina. Her current practice location is 104 Knox Ct, Davidson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 892-5454.

Nicole Anna Desantis is licensed to practice in North Carolina (license number 2023-01622) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518595438.

Contact Information

Nicole Anna Desantis, DO
104 Knox Ct,
Davidson, NC 28036-0590
(704) 892-5454
Not Available

Map and Direction




Physician's Profile

Full NameNicole Anna Desantis
GenderFemale
SpecialityFamily Medicine
Location104 Knox Ct, Davidson, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518595438
  • Provider Enumeration Date: 03/27/2020
  • Last Update Date: 06/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628409273
  • Enrollment ID: I20230829003795

Medical Identifiers

Medical identifiers for Nicole Anna Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518595438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2023-01622 (North Carolina)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. Nicole Anna Desantis allows following entities to bill medicare on her behalf.
Entity NameDavidson Family Medicine, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811958812
PECOS PAC ID: 9931189008
Enrollment ID: O20040721000523
Entity NameAvance Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487845020
PECOS PAC ID: 3577634476
Enrollment ID: O20080620000196

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. Nicole Anna 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 AddressPractice Location Address
Nicole Anna Desantis, DO
Po Box 4329,
Davidson, NC 28036-4329

Ph: () -		Nicole Anna Desantis, DO
104 Knox Ct,
Davidson, NC 28036-0590

Ph: (704) 892-5454

Reviews and Comments


Family Medicine Doctors in Davidson, NC

Craig Justice White, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 104 Knox Court, Suite 100, Davidson, NC 28036
Phone: 704-892-5454    Fax: 704-892-5858
Emmett Fulcher Montgomery, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 104 Knox Ct Ste 100, Davidson, NC 28036
Phone: 704-892-5454    Fax: 704-892-5858
Jennifer Lyn Barlow, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 705 Griffith St Ste 100, Davidson, NC 28036
Phone: 704-801-7900    
Ronnie T. Beamon, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 705 Griffith St, Davidson, NC 28036
Phone: 704-801-7900    
Kelly Elizabeth Brown, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Griffith St, Davidson, NC 28036
Phone: 704-801-7900    
Joan I. Schwanz, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 705 Griffith St, Suite 100, Davidson, NC 28036
Phone: 704-801-7900    Fax: 704-892-3889

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.