Lesly Desrouleaux, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Belle Glade, Florida. His current practice location is
38754 State Road 80, Belle Glade, Florida. You can reach out to his office (for appointments etc.) via phone at
(561) 996-1600.
Lesly Desrouleaux is licensed to practice in Florida (license number ME59527) 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 1548291107.
Physician's Profile
| Full Name | Lesly Desrouleaux |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 38754 State Road 80, Belle Glade, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548291107
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 01/09/2013
Medicare PECOS Information:
- PECOS PAC ID: 8426295536
- Enrollment ID: I20130509000330
Medical Identifiers
Medical identifiers for Lesly Desrouleaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548291107 | NPI | - | NPPES |
| 055145700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | ME59527 (Florida) | 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. Lesly Desrouleaux allows following entities to bill medicare on his behalf.
| Entity Name | Florida Department Of Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134189103
PECOS PAC ID: 3072424282
Enrollment ID: O20040105000636 |
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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. Lesly Desrouleaux 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 |
|---|
Lesly Desrouleaux, MD
38754 State Road 80,
Belle Glade, FL 33430-5615
Ph: (561) 996-1600 | Lesly Desrouleaux, MD
38754 State Road 80,
Belle Glade, FL 33430-5615
Ph: (561) 996-1600 |
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