Mr Kenneth Andre Desandies, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Oxon Hill, Maryland. His current practice location is
6192 Oxon Hill Rd, Suite 303, Oxon Hill, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 567-0978.
Mr Kenneth Andre Desandies is licensed to practice in Maryland (license number D22793) 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 1417059239.
Physician's Profile
| Full Name | Mr Kenneth Andre Desandies |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 6192 Oxon Hill Rd, Oxon Hill, Maryland |
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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: 1417059239
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820113947
- Enrollment ID: I20100914000061
Medical Identifiers
Medical identifiers for Mr Kenneth Andre Desandies such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417059239 | NPI | - | NPPES |
| 6287930 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | D22793 (Maryland) | Primary |
| 207V00000X | Obstetrics & Gynecology | 029522 (Virginia) | 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. Mr Kenneth Andre Desandies allows following entities to bill medicare on his behalf.
| Entity Name | Accessible Physician Home Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235497892 PECOS PAC ID: 2769639178 Enrollment ID: O20120820000886 |
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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. Mr Kenneth Andre Desandies 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 |
Mr Kenneth Andre Desandies, MD 6192 Oxon Hill Rd, Suite 303, Oxon Hill, MD 20745 Ph: (301) 567-0978 | Mr Kenneth Andre Desandies, MD 6192 Oxon Hill Rd, Suite 303, Oxon Hill, MD 20745 Ph: (301) 567-0978 |
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