Mr Douglas James Deszell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenville, Florida. His current practice location is
75 E 5th Ct, Greenville, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 673-1001.
Mr Douglas James Deszell is licensed to practice in Florida (license number ARNP1453122) 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 1407828858.
Provider's Profile
| Full Name | Mr Douglas James Deszell |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 75 E 5th Ct, Greenville, Florida |
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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: 1407828858
- Provider Enumeration Date: 02/01/2006
- Last Update Date: 05/12/2008
Medicare PECOS Information:
- PECOS PAC ID: 7416844170
- Enrollment ID: I20040228000138
Medical Identifiers
Medical identifiers for Mr Douglas James Deszell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407828858 | NPI | - | NPPES |
| 304031300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | ARNP1453122 (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. Mr Douglas James Deszell allows following entities to bill medicare on his behalf.
| Entity Name | David W Nussear Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700042694
PECOS PAC ID: 5698832574
Enrollment ID: O20090319000578 |
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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. Mr Douglas James Deszell 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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Mr Douglas James Deszell, CRNA
Po Box 286,
Monticello, FL 32345-0286
Ph: (850) 673-1001 | Mr Douglas James Deszell, CRNA
75 E 5th Ct,
Greenville, FL 32331-5201
Ph: (850) 673-1001 |
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