Dr Nicholas Nelson Desantis, DPM - Medicare Podiatrist in San Diego, CA

Dr Nicholas Nelson Desantis, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in San Diego, California. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Podiatry. His current practice location is 2306 6th Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 239-3286.

Dr Nicholas Nelson Desantis is licensed to practice in California (license number E2474) 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 1053317545.

Contact Information

Dr Nicholas Nelson Desantis, DPM
2306 6th Ave,
San Diego, CA 92101-1643
(619) 239-3286
(619) 239-0172



Healthcare Provider's Profile

Full NameDr Nicholas Nelson Desantis
GenderMale
SpecialityPodiatry
Experience45 Years
Location2306 6th Ave, San Diego, California
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 Nicholas Nelson Desantis graduated from medical school in 1979
  NPI Data:
  • NPI Number: 1053317545
  • Provider Enumeration Date: 06/21/2005
  • Last Update Date: 06/07/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8921079120
  • Enrollment ID: I20040802001602

Medical Identifiers

Medical identifiers for Dr Nicholas Nelson Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053317545NPI-NPPES
000E24740OtherCABLUE CROSS
000E24741MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery E2474 (California)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. Dr Nicholas Nelson Desantis allows following entities to bill medicare on his behalf.
Provider NamePark Row Podiatry Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164736476
PECOS PAC ID: 4284768524
Enrollment ID: O20100823000257

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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 Nicholas Nelson 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 Nicholas Nelson Desantis, DPM
2306 6th Ave,
San Diego, CA 92101-1643

Ph: (619) 239-3286
Dr Nicholas Nelson Desantis, DPM
2306 6th Ave,
San Diego, CA 92101-1643

Ph: (619) 239-3286

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Podiatrist in San Diego, CA

Dr. Donald Triolo, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 6699 Alvarado Rd, Suite 2201, San Diego, CA 92120
Phone: 619-583-8160    Fax: 619-583-8170
Dr. Anthony Michael Rabaiotti, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 2650 Stockton Rd, San Diego, CA 92106
Phone: 619-524-0087    
Dr. Sophie I Liu, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 7297 Ronson Rd Ste H, San Diego, CA 92111
Phone: 858-278-6603    
Dr. Arthur Wells Ward, D.P.M.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 35000 Guadalcanal Ave, Mcrd Branch Medical Clinic, San Diego, CA 92140
Phone: 619-524-8313    
Joseph Bui, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 5354 University Ave # 2, San Diego, CA 92105
Phone: 619-354-8370    
Dr. Jerome Anthony Wisniew, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 2306 6th Ave, San Diego, CA 92101
Phone: 619-232-0179    
Dr. Roy Phillips
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 3670 Clairemont Dr, Suite #7, San Diego, CA 92117
Phone: 858-272-1091    Fax: 866-401-4918

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