Adolfo Richard Desandre, MD in Bolivia, NC

Adolfo Richard Desandre, MD is a medicare enrolled "Surgery" physician in Bolivia, North Carolina. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Novant Medical Group Inc and his current practice location is 257 Hospital Drive Suite 200, Bolivia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 721-4000.

Adolfo Richard Desandre is licensed to practice in North Carolina (license number 9801631) 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 1710963475.

Contact Information

	Adolfo Richard Desandre, MD
	257 Hospital Drive Suite 200, Bolivia, NC 28422-8411
	(910) 721-4000
	(910) 721-4001

Map and Direction

Physician's Profile

Full Name	Adolfo Richard Desandre
Gender	Male
Speciality	General Surgery
Experience	43 Years
Location	257 Hospital Drive Suite 200, Bolivia, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adolfo Richard Desandre graduated from medical school in 1981

NPI Data:

NPI Number: 1710963475
Provider Enumeration Date: 12/15/2005
Last Update Date: 05/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2668363730
Enrollment ID: I20040320000491

Medical Identifiers

Medical identifiers for Adolfo Richard Desandre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710963475	NPI	-	NPPES
20712	Other	SC	SC MEDICAL LICENSE
9801631	Other	NC	NC MEDICAL LICENSE
8911805	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	20712 (South Carolina)	Secondary
208600000X	Surgery	9801631 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Brunswick Medical Center	Supply, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	1996

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. Adolfo Richard Desandre allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Brunswick Community Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403

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. Adolfo Richard Desandre 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
Adolfo Richard Desandre, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7840	Adolfo Richard Desandre, MD 257 Hospital Drive Suite 200, Bolivia, NC 28422-8411 Ph: (910) 721-4000

Reviews and Comments

Surgery Doctors in Bolivia, NC

Matt Aaron Benenati, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001
Richard Ralph Scallion, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001
Joseph Andrew Smith, Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001
Mark Tillotson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001

Adolfo Richard Desandre, MD - Medicare General Surgery in Bolivia, NC