Mr Richard J Desautel, NP is a
Nurse Practitioner - Gerontology based in Stuyvesant, New York. Mr Richard J Desautel is licensed to practice in New York (license number F340630) and his current practice location is
88 County Route 26a, Stuyvesant, New York. He can be reached at his office (for appointments etc.) via phone at
(413) 429-5139.
NPI number for Mr Richard J Desautel is 1811194558 and his current mailing address is 88 County Route 26a, Stuyvesant, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811194558.
Provider's Profile
| Full Name | Mr Richard J Desautel |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Gerontology |
|---|
| Location | 88 County Route 26a, Stuyvesant, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811194558
- Provider Enumeration Date: 06/27/2007
- Last Update Date: 12/20/2018
Medical Identifiers
Medical identifiers for Mr Richard J Desautel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811194558 | NPI | - | NPPES |
| 431894499 | Other | ME | MEDICAID - MAINECARE |
| 03213898 | Medicaid | NY | |
| 200213435 | Other | NY | CDPHP |
| 3012611 | Other | NY | MVP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 004966 (Connecticut) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | AP081740 (Maine) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | CNP01488 (New Mexico) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 049762-23 (New Hampshire) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 153541 (Massachusetts) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | F340630 (New York) | 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. Mr Richard J Desautel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Richard J Desautel, NP
88 County Route 26a,
Stuyvesant, NY 12173-2410
Ph: (413) 429-5139 | Mr Richard J Desautel, NP
88 County Route 26a,
Stuyvesant, NY 12173-2410
Ph: (413) 429-5139 |
Reviews and Comments