Dr Pravesh P Deotale, MD - Medicare Psychiatry in Festus, MO

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Dr Pravesh P Deotale, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Festus, Missouri. He graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Mercy Hospital Perry and his current practice location is 1420 Us Highway 61, Festus, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 543-2230.

Dr Pravesh P Deotale is licensed to practice in Missouri (license number 2015036367) 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 1710275110.

Contact Information

Dr Pravesh P Deotale, MD
1420 Us Highway 61,
Festus, MO 63028-4108
(636) 543-2230
Not Available

Map and Direction




Physician's Profile

Full NameDr Pravesh P Deotale
GenderMale
SpecialityPsychiatry
Experience24 Years
Location1420 Us Highway 61, Festus, Missouri
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 Pravesh P Deotale graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1710275110
  • Provider Enumeration Date: 07/19/2011
  • Last Update Date: 04/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163660283
  • Enrollment ID: I20160708000233

Medical Identifiers

Medical identifiers for Dr Pravesh P Deotale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710275110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 036135582 (Illinois)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 2015036367 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Hospital Perry1153777826100

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 Pravesh P Deotale allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Adult Hospitalists - St. Louis, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841235108
PECOS PAC ID: 6002809944
Enrollment ID: O20040406001004
Entity NameMercy Clinic Child And Adolescent Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265562300
PECOS PAC ID: 7113981721
Enrollment ID: O20041115000078
Entity NameMercy Clinic Adult Hospitalists - Washington, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891943429
PECOS PAC ID: 3577630540
Enrollment ID: O20080917000782
Entity NameSt Anthonys Physician Organization Hospitalist Services Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407216336
PECOS PAC ID: 5092980656
Enrollment ID: O20111208000771
Entity NameMercy East Support Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225382013
PECOS PAC ID: 0446498729
Enrollment ID: O20130528000281
Entity NameMercy Clinic Adult Hospitalists Jefferson Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083052492
PECOS PAC ID: 8628205598
Enrollment ID: O20131220001798
Entity NameMercy Clinic Adult Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750788972
PECOS PAC ID: 4688998602
Enrollment ID: O20150122002258
Entity NameGreenbrook Tms St Louis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144713884
PECOS PAC ID: 4284985417
Enrollment ID: O20181105000980
Entity NameMercy Hospital Perry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063117158
PECOS PAC ID: 1153777826
Enrollment ID: O20231101001515

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 Pravesh P Deotale 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 Pravesh P Deotale, MD
9 High Acres Dr,
Saint Louis, MO 63132-4210

Ph: (217) 414-5131		Dr Pravesh P Deotale, MD
1420 Us Highway 61,
Festus, MO 63028-4108

Ph: (636) 543-2230

Reviews and Comments


Psychiatry & Neurology Doctors in Festus, MO

Dr. Eric Neil-jensen Boyum, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Us Highway 61, Festus, MO 63028
Phone: 314-251-6663    
Mr. Tariq Jawaid Alam, MD, FAAN
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Us Highway 61, South, Suite 120, Festus, MO 63028
Phone: 636-933-8270    Fax: 636-933-1233
Ronald L Beach, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 227 E Main St, Festus, MO 63028
Phone: 636-931-2700    Fax: 636-931-2139
Dr. Laishang Peter Zhang, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Us Highway 61, Festus, MO 63028
Phone: 314-251-6663    
Dr. Julia M Zevallos, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Us Highway 61, Suite 150, Festus, MO 63028
Phone: 636-931-6090    Fax: 636-933-9509
Aiying Angie Xiao, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Us Highway 61, Suite H1341, Festus, MO 63028
Phone: 636-543-2230    Fax: 636-543-2231
Michael P. Cooper, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1420 Us Highway 61, Festus, MO 63028
Phone: 636-543-2230    Fax: 636-543-2231

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.