Widdler Deshommes, MD - Medicare General Practice in Mount Dora, FL

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Widdler Deshommes, MD is a medicare enrolled "General Practice" physician in Mount Dora, Florida. His current practice location is 4601 N Highway 19a, Mount Dora, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 290-8718.

Widdler Deshommes is licensed to practice in Florida (license number ACN1610) 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 1376172015.

Contact Information

Widdler Deshommes, MD
4601 N Highway 19a,
Mount Dora, FL 32757-2039
(352) 290-8718
Not Available

Map and Direction




Physician's Profile

Full NameWiddler Deshommes
GenderMale
SpecialityGeneral Practice
Location4601 N Highway 19a, Mount Dora, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376172015
  • Provider Enumeration Date: 04/04/2020
  • Last Update Date: 03/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739565169
  • Enrollment ID: I20240408001798

Medical Identifiers

Medical identifiers for Widdler Deshommes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376172015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 023661 (Puerto Rico)Secondary
363A00000XPhysician Assistant 000229-P.A (Puerto Rico)Secondary
363A00000XPhysician Assistant 8363 (Arizona)Secondary
363A00000XPhysician Assistant TPPA363 (Florida)Secondary
208D00000XGeneral Practice ACN1610 (Florida)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. Widdler Deshommes allows following entities to bill medicare on his behalf.
Entity NameAlina Community Center At Mount Dora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811550346
PECOS PAC ID: 9032530829
Enrollment ID: O20200603001057
Entity NameAlina Health Medical Center Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144975418
PECOS PAC ID: 7517352214
Enrollment ID: O20220316000743

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. Widdler Deshommes 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
Widdler Deshommes, MD
550 Rouzer St,
Apopka, FL 32712-3650

Ph: (407) 575-0943		Widdler Deshommes, MD
4601 N Highway 19a,
Mount Dora, FL 32757-2039

Ph: (352) 290-8718

Reviews and Comments


General Practice Doctors in Mount Dora, FL

Vanessa Urbina, M.D.
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Phone: 352-605-6958    Fax: 352-729-4278
Dr. Martino Rosalva, MD
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Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757
Phone: 352-735-3755    Fax: 352-735-3151
Dr. Daniel R Thomas, DO, MS
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Medicare: Not Enrolled in Medicare
Practice Location: 344 S Highland St, Mount Dora, FL 32757
Phone: 352-729-0923    

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.