Mrs Shital S Desai, ANP, FNP-C is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Hope Valley, Rhode Island. Her current practice location is
823 Main St, Hope Valley, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 539-2461.
Mrs Shital S Desai is licensed to practice in Texas (license number AP121774) 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 1649525403.
Provider's Profile
| Full Name | Mrs Shital S Desai |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Family Health |
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| Location | 823 Main St, Hope Valley, Rhode Island |
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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: 1649525403
- Provider Enumeration Date: 07/18/2012
- Last Update Date: 12/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 5799088605
- Enrollment ID: I20160127001851
Medical Identifiers
Medical identifiers for Mrs Shital S Desai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649525403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 2012010796 (Missouri) | Secondary |
| 163W00000X | Registered Nurse | 825419 (Texas) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | AP121774 (Texas) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | AP121774 (Texas) | 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. Mrs Shital S Desai allows following entities to bill medicare on her behalf.
| Entity Name | Wood River Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417947383
PECOS PAC ID: 2466417506
Enrollment ID: O20041130000808 |
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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. Mrs Shital S Desai 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 |
|---|
Mrs Shital S Desai, ANP, FNP-C
6225 Fm 2920 Rd Ste 100,
Spring, TX 77379-3474
Ph: (281) 257-5977 | Mrs Shital S Desai, ANP, FNP-C
823 Main St,
Hope Valley, RI 02832-1920
Ph: (401) 539-2461 |
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