Tejal Haresh Desai, AA is a medicare enrolled "Anesthesiologist Assistant" in Stone Mountain, Georgia. Her current practice location is
2171 West Park Court, Suite A, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 514-2640.
Tejal Haresh Desai is licensed to practice in Georgia (license number 003950) 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 1912054206.
Provider's Profile
| Full Name | Tejal Haresh Desai |
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| Gender | Female |
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| Speciality | Anesthesiologist Assistant |
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| Location | 2171 West Park Court, Stone Mountain, Georgia |
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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: 1912054206
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 05/03/2008
Medicare PECOS Information:
- PECOS PAC ID: 0345311585
- Enrollment ID: I20080617000113
Medical Identifiers
Medical identifiers for Tejal Haresh Desai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912054206 | NPI | - | NPPES |
| 00591324J | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 003950 (Georgia) | 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. Tejal Haresh Desai allows following entities to bill medicare on her behalf.
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442 |
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| Entity Name | Mak Anesthesia Holdings, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563 |
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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. Tejal Haresh 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 |
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Tejal Haresh Desai, AA
2171 West Park Court, Suite A,
Stone Mountain, GA 30087-3555
Ph: (678) 514-2640 | Tejal Haresh Desai, AA
2171 West Park Court, Suite A,
Stone Mountain, GA 30087-3555
Ph: (678) 514-2640 |
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