Dr Robert A Desantis, MD - Medicare Obstetrics/gynecology in Ellisville, MS

Dr Robert A Desantis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ellisville, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice South Central Clinics, Inc, State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 1203 Ave B, Ellisville, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 477-8553.

Dr Robert A Desantis is licensed to practice in Mississippi (license number 13169) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053350223.

Contact Information

Dr Robert A Desantis, MD
1203 Ave B,
Ellisville, MS 39437-2080
(601) 477-8553
(601) 649-9944



Physician's Profile

Full NameDr Robert A Desantis
GenderMale
SpecialityObstetrics/gynecology
Experience33 Years
Location1203 Ave B, Ellisville, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Robert A Desantis attended and graduated from University Of Mississippi School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1053350223
  • Provider Enumeration Date: 06/05/2006
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931097607
  • Enrollment ID: I20040616000654

Medical Identifiers

Medical identifiers for Dr Robert A Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053350223NPI-NPPES
00119497MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 31288 (Alabama)Secondary
207V00000XObstetrics & Gynecology 13169 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Central Reg Med CtrLaurel, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Central Clinics, Inc4385876655106
State Of Mississippi - University Of Mississippi Medical Center1850293036804

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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. Dr Robert A Desantis allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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Entity NameSouth Central Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801226287
PECOS PAC ID: 4385876655
Enrollment ID: O20140515000834

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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. Dr Robert A Desantis 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
Dr Robert A Desantis, MD
Po Box 247,
Laurel, MS 39441-0247

Ph: (601) 649-9904
Dr Robert A Desantis, MD
1203 Ave B,
Ellisville, MS 39437-2080

Ph: (601) 477-8553

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Obstetrics & Gynecology Doctors in Ellisville, MS

Benjamin Michael Weber, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1203 Avenue B, Ste 300, Ellisville, MS 39437
Phone: 601-477-2226    Fax: 601-477-2236

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