John D Despain, MD is a medicare enrolled "Dermatology" physician in Osage Beach, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology Sc and his current practice location is
5721 Osage Beach Pkwy Ste 100, Osage Beach, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 302-4696.
John D Despain is licensed to practice in Missouri (license number R8E64) 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 1932196433.
Physician's Profile
| Full Name | John D Despain |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 42 Years |
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| Location | 5721 Osage Beach Pkwy Ste 100, Osage Beach, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John D Despain attended and graduated from University Of Missouri, Columbia School Of Medicine in 1984
NPI Data:
- NPI Number: 1932196433
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597768986
- Enrollment ID: I20070814000590
Medical Identifiers
Medical identifiers for John D Despain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932196433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0900X | Dermatology - Dermatopathology | R8E64 (Missouri) | Secondary |
| 207N00000X | Dermatology | R8E64 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Forefront Dermatology Sc | 3779471701 | 568 |
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. John D Despain allows following entities to bill medicare on his behalf.
| Entity Name | Jefferson City Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336189398
PECOS PAC ID: 1850371089
Enrollment ID: O20040908000924 |
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| Entity Name | Boyce & Bynum Pathology Professional Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689634818
PECOS PAC ID: 0042384976
Enrollment ID: O20080811000335 |
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| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891179040
PECOS PAC ID: 3779471701
Enrollment ID: O20150922001275 |
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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. John D Despain 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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John D Despain, MD
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9008 | John D Despain, MD
5721 Osage Beach Pkwy Ste 100,
Osage Beach, MO 65065-3030
Ph: (573) 302-4696 |
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