Michael Desantis, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Girard, Pennsylvania. His current practice location is
1135 Lake St, Girard, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 774-3155.
Michael Desantis is licensed to practice in Pennsylvania (license number SP019328) 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 1023593159.
Provider's Profile
| Full Name | Michael Desantis |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1135 Lake St, Girard, Pennsylvania |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1023593159
- Provider Enumeration Date: 09/25/2018
- Last Update Date: 07/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517211386
- Enrollment ID: I20181114000410
Medical Identifiers
Medical identifiers for Michael Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023593159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | SP019328 (Pennsylvania) | 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. Michael Desantis allows following entities to bill medicare on his behalf.
| Entity Name | Community Health Net |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245209170
PECOS PAC ID: 1759290588
Enrollment ID: O20031222000617 |
|---|
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. Michael Desantis 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 |
|---|
Michael Desantis, CRNP
1202 State St,
Erie, PA 16501-1914
Ph: (814) 455-7222 | Michael Desantis, CRNP
1135 Lake St,
Girard, PA 16417-1049
Ph: (814) 774-3155 |
Reviews and Comments