Mr Richard J Desautel, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Stuyvesant, New York. His current practice location is
88 County Route 26a, Stuyvesant, New York. You can reach out to his office (for appointments etc.) via phone at
(413) 429-5139.
Mr Richard J Desautel is licensed to practice in New York (license number F340630) 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 1811194558.
Provider's Profile
| Full Name | Mr Richard J Desautel |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Gerontology |
|---|
| Location | 88 County Route 26a, Stuyvesant, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1811194558
- Provider Enumeration Date: 06/27/2007
- Last Update Date: 12/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 2062449903
- Enrollment ID: I20100810001043
Medical Identifiers
Medical identifiers for Mr Richard J Desautel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811194558 | NPI | - | NPPES |
| 431894499 | Other | ME | MEDICAID - MAINECARE |
| 03213898 | Medicaid | NY | |
| 200213435 | Other | NY | CDPHP |
| 3012611 | Other | NY | MVP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 004966 (Connecticut) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | AP081740 (Maine) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | CNP01488 (New Mexico) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 049762-23 (New Hampshire) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 153541 (Massachusetts) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | F340630 (New York) | 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 Richard J Desautel allows following entities to bill medicare on his behalf.
| Entity Name | Hospitalist Healthcare Services Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1275962011
PECOS PAC ID: 1557599313
Enrollment ID: O20140124001195 |
|---|
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 Richard J Desautel 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 Richard J Desautel, NP
88 County Route 26a,
Stuyvesant, NY 12173-2410
Ph: (413) 429-5139 | Mr Richard J Desautel, NP
88 County Route 26a,
Stuyvesant, NY 12173-2410
Ph: (413) 429-5139 |
Reviews and Comments