Prajakta Deshpande, MD in Orange, CA - Medicare Family Medicine

Prajakta Deshpande, MD is a medicare enrolled "Family Medicine" physician in Orange, California. Her current practice location is 1140 W. La Veta Ave., Suite 700, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 547-5404.

Prajakta Deshpande is licensed to practice in California (license number C133444) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760576094.

Contact Information

	Prajakta Deshpande, MD
	1140 W. La Veta Ave., Suite 700, Orange, CA 92868-4229
	(714) 547-5404
	(714) 547-0935

Map and Direction

Physician's Profile

Full Name	Prajakta Deshpande
Gender	Female
Speciality	Family Medicine
Location	1140 W. La Veta Ave., Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760576094
Provider Enumeration Date: 10/03/2006
Last Update Date: 12/27/2022

Medicare PECOS Information:

PECOS PAC ID: 8729078134
Enrollment ID: I20150205002363

Medical Identifiers

Medical identifiers for Prajakta Deshpande such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760576094	NPI	-	NPPES
0224597	Other	WA	LABOR AND INDUSTRIES
8386849	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00042638 (Washington)	Secondary
207Q00000X	Family Medicine	C133444 (California)	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. Prajakta Deshpande allows following entities to bill medicare on her behalf.

Entity Name	Perry T Mansfield
Entity Type	Practitioner - Otolaryngology
Entity Identifiers	NPI Number: 1265463194 PECOS PAC ID: 4981663259 Enrollment ID: I20041004000875

Entity Name	University Of California Irvine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Entity Name	Regents Of The University Of
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366590762 PECOS PAC ID: 3779689518 Enrollment ID: O20070510000532

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. Prajakta Deshpande 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
Prajakta Deshpande, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 573-5261	Prajakta Deshpande, MD 1140 W. La Veta Ave., Suite 700, Orange, CA 92868-4229 Ph: (714) 547-5404

Reviews and Comments

Family Medicine Doctors in Orange, CA

Catherine Cummins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-8978
Rolf D. Knapp, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2540 N Santiago Blvd, Orange, CA 92867 Phone: 714-921-1030 Fax: 714-921-1032
Dr. Heather Dehaan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-740-7956
Dr. Lawrence Roger Brownlee, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2617 E. Chapman Ave., Suite 306, Orange, CA 92869 Phone: 714-669-4442
Hal S Shimazu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 E Chapman Ave, Orange, CA 92866 Phone: 714-997-2899 Fax: 714-289-7062
Shiho I Ito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888
Basil O Ike Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 999-999-9999

Prajakta Deshpande, MD - Medicare Family Medicine in Orange, CA