Mary Desantis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rochester, New York. She graduated from healthcare school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
945 E Henrietta Rd Ste A-2, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 773-4396.
Mary Desantis is licensed to practice in New York (license number 095296) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1134631310.
Healthcare Provider's Profile
| Full Name | Mary Desantis |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 945 E Henrietta Rd Ste A-2, Rochester, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Desantis graduated from medical school in 2011
NPI Data:
- NPI Number: 1134631310
- Provider Enumeration Date: 10/28/2017
- Last Update Date: 05/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830662949
- Enrollment ID: I20260620000102
Medical Identifiers
Medical identifiers for Mary Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134631310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18789 (New York) | Secondary |
| 104100000X | Social Worker | 086207 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 095296 (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. Mary Desantis allows following entities to bill medicare on her behalf.
| Entity Name | Psychiatry Services of New York, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013781871
PECOS PAC ID: 9133534340
Enrollment ID: O20210222001872 |
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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. Mary 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 Address | Practice Location Address |
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Mary Desantis, LCSW
945 E Henrietta Rd Ste A-2,
Rochester, NY 14623-1419
Ph: (585) 773-4396 | Mary Desantis, LCSW
945 E Henrietta Rd Ste A-2,
Rochester, NY 14623-1419
Ph: (585) 773-4396 |
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