Pany Decossard, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Deckerville, Michigan. His current practice location is
3559 Pine Street, Deckerville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 376-2835.
Pany Decossard is licensed to practice in Michigan (license number 4301083294) 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 1376626127.
Physician's Profile
Full Name | Pany Decossard |
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Gender | Male |
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Speciality | Internal Medicine - Geriatric Medicine |
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Location | 3559 Pine Street, Deckerville, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376626127
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0446201941
- Enrollment ID: I20130108000134
Medical Identifiers
Medical identifiers for Pany Decossard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376626127 | NPI | - | NPPES |
4694760 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0300X | Internal Medicine - Geriatric Medicine | 4301083294 (Michigan) | 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. Pany Decossard allows following entities to bill medicare on his behalf.
Entity Name | Hospitalist Medicine Physicians Of New York Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205944329 PECOS PAC ID: 5597767129 Enrollment ID: O20070209000383 |
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Entity Name | Sullivan Emergency Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528338480 PECOS PAC ID: 7719146927 Enrollment ID: O20120307000760 |
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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. Pany Decossard 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 |
Pany Decossard, MD Po Box 126, Deckerville, MI 48427-0126 Ph: (810) 376-2835 | Pany Decossard, MD 3559 Pine Street, Deckerville, MI 48427-0126 Ph: (810) 376-2835 |
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