Desiree Phillips, PA is a medicare enrolled "Physician Assistant" in Mondovi, Wisconsin. Her current practice location is
700 Buffalo St, Mondovi, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 597-3121.
Desiree Phillips is licensed to practice in Wisconsin (license number 1277) 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 1477533008.
Provider's Profile
| Full Name | Desiree Phillips |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 700 Buffalo St, Mondovi, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477533008
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 02/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234166737
- Enrollment ID: I20050726000510
Medical Identifiers
Medical identifiers for Desiree Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477533008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 1277 (Wisconsin) | Primary |
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. Desiree Phillips 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 |
Desiree Phillips, PA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Desiree Phillips, PA 700 Buffalo St, Mondovi, WI 54755-1371 Ph: (715) 597-3121 |
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