| Melissa Louise Desouza, MD | |
|
1 Hoag Dr, Newport Beach, CA 92663-4162 | |
| (949) 764-5350 | |
| Not Available |
| Full Name | Melissa Louise Desouza |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 1 Hoag Dr, Newport Beach, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902224694 | NPI | - | NPPES |
| 500672653 | Medicaid | OR | |
| 2037912 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD205727 (Oregon) | Secondary |
| 208600000X | Surgery | C202170 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Portland Medical Center | Portland, OR | Hospital |
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Oregon Clinic, Pc | 2860390408 | 324 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
| Entity Name | The Oregon Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Louise Desouza, MD 3337 Alabama Cir, Costa Mesa, CA 92626-2041 Ph: (603) 986-1695 | Melissa Louise Desouza, MD 1 Hoag Dr, Newport Beach, CA 92663-4162 Ph: (949) 764-5350 |
Dr. Robert Gertmenian Burns, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 360 San Miguel Dr, Suite 608, Newport Beach, CA 92660 Phone: 949-760-1144 Fax: 949-760-1588 | |
Dr. Steven Robert Beanes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Superior Avenue, Suite 200-g, Newport Beach, CA 92663 Phone: 949-791-6767 Fax: 949-791-6768 | |
Dr. Yuichi Ishida, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr Bldg 31, Newport Beach, CA 92663 Phone: 949-764-8258 Fax: 949-764-1493 | |
Peter C Wang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Superior Ave, Ste. 200-g, Newport Beach, CA 92663 Phone: 949-791-6767 Fax: 949-791-6768 | |
Vu Dinh, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 Old Newport Blvd, Newport Beach, CA 92663 Phone: 949-438-2476 | |
Dr. Jonathan David Shifren, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 359 San Miguel Dr, Suite 206, Newport Beach, CA 92660 Phone: 949-729-1731 Fax: 949-721-9194 | |
Yoon Kyung Lee, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 510 Superior Ave Ste 200g, Newport Beach, CA 92663 Phone: 949-791-6767 Fax: 949-791-6768 |