Dr Liautaud Morin Prophete Sr, DO - Medicare Obstetrics & Gynecology in Los Banos, CA

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Dr Liautaud Morin Prophete Sr, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Los Banos, California. His current practice location is 502 Washington Ave, Los Banos, California. You can reach out to his office (for appointments etc.) via phone at (209) 826-4771.

Dr Liautaud Morin Prophete Sr is licensed to practice in California (license number 20A9842) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134219264.

Contact Information

Dr Liautaud Morin Prophete Sr, DO
502 Washington Ave,
Los Banos, CA 93635-4649
(209) 826-4771
(209) 826-8565

Map and Direction




Physician's Profile

Full NameDr Liautaud Morin Prophete Sr
GenderMale
SpecialityObstetrics & Gynecology
Location502 Washington Ave, Los Banos, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134219264
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012980170
  • Enrollment ID: I20080521000835

Medical Identifiers

Medical identifiers for Dr Liautaud Morin Prophete Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134219264NPI-NPPES
00AX98420MedicaidCA
01239531MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 20A9842 (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 Liautaud Morin Prophete Sr allows following entities to bill medicare on his behalf.
Entity NameProphete Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568658086
PECOS PAC ID: 8325126683
Enrollment ID: O20150903003044

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 Liautaud Morin Prophete Sr 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 Liautaud Morin Prophete Sr, DO
502 Washington Ave,
Los Banos, CA 93635-4649

Ph: (209) 826-4771		Dr Liautaud Morin Prophete Sr, DO
502 Washington Ave,
Los Banos, CA 93635-4649

Ph: (209) 826-4771

Reviews and Comments


Obstetrics & Gynecology Doctors in Los Banos, CA

Dr. Stephen J Georgiou, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 502 Washington Ave, Los Banos, CA 93635
Phone: 209-826-4771    Fax: 206-826-8565
Dr. Benny Lee Wright, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 502 Washington Ave, Los Banos, CA 93635
Phone: 209-826-4771    Fax: 209-826-8565

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.