Kevin J Desantis, MD - Medicare Emergency Medicine in Port Charlotte, FL

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Kevin J Desantis, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Port Charlotte, Florida. His current practice location is 2450 Tamiami Trl Ste A, Port Charlotte, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 624-2704.

Kevin J Desantis is licensed to practice in Florida (license number ME58093) 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 1255353595.

Contact Information

Kevin J Desantis, MD
2450 Tamiami Trl Ste A,
Port Charlotte, FL 33952-3922
(941) 624-2704
(941) 627-6066

Map and Direction




Physician's Profile

Full NameKevin J Desantis
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
Location2450 Tamiami Trl Ste A, Port Charlotte, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255353595
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 01/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335142637
  • Enrollment ID: I20070616000057

Medical Identifiers

Medical identifiers for Kevin J Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255353595NPI-NPPES
064805100MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services ME58093 (Florida)Primary
207P00000XEmergency Medicine ME58093 (Florida)Secondary

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. Kevin J Desantis allows following entities to bill medicare on his behalf.
Entity NameSt. Joseph Emergency Medical Physicians Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053358903
PECOS PAC ID: 5092718387
Enrollment ID: O20060818000119
Entity NameMillennium Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811122880
PECOS PAC ID: 9830244433
Enrollment ID: O20090903000338

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. Kevin J Desantis 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
Kevin J Desantis, MD
2675 Winkler Ave Fl 2,
Fort Myers, FL 33901-9342

Ph: (877) 856-3774		Kevin J Desantis, MD
2450 Tamiami Trl Ste A,
Port Charlotte, FL 33952-3922

Ph: (941) 624-2704

Reviews and Comments


Emergency Medicine Doctors in Port Charlotte, FL

Dr. Robert Leyrer, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952
Phone: 305-665-4614    
Raymond Allen James, DO
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952
Phone: 941-627-6130    Fax: 941-627-6146
Dr. Matthew Wiesinger, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952
Phone: 941-766-4122    
Daniel O'leary, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952
Phone: 305-665-4614    
Dr. Jenny Wiedel, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952
Phone: 941-766-4255    
Matthew Shannon Johnson, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952
Phone: 941-624-2704    Fax: 941-627-6066

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.