Justen T Despain, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Atlanta, Georgia. His current practice location is
615 Michael St Ne Ste 205, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 712-2970.
Justen T Despain is licensed to practice in * (Not Available) (license number ) 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 1740801125.
Physician's Profile
Full Name | Justen T Despain |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 615 Michael St Ne Ste 205, Atlanta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740801125
- Provider Enumeration Date: 04/27/2020
- Last Update Date: 05/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436579281
- Enrollment ID: I20201015001691
Medical Identifiers
Medical identifiers for Justen T Despain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740801125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 02006741A (Indiana) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 02006741A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Justen T 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 |
Justen T Despain, DO 615 Michael St Ne Ste 205, Atlanta, GA 30322-1047 Ph: (404) 712-2970 | Justen T Despain, DO 615 Michael St Ne Ste 205, Atlanta, GA 30322-1047 Ph: (404) 712-2970 |
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