Tejal Haresh Desai, AA is a medicare enrolled "Anesthesiologist Assistant" in Stone Mountain, Georgia. She went to Emory University School Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Mak Anesthesia Holdings, Llc and her current practice location is
2171 West Park Court, Suite A, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 514-2640.
Tejal Haresh Desai is licensed to practice in Georgia (license number 003950) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912054206.
Provider's Profile
| Full Name | Tejal Haresh Desai |
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| Gender | Female |
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| Speciality | Anesthesiology Assistant |
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| Experience | 24 Years |
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| Location | 2171 West Park Court, Stone Mountain, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tejal Haresh Desai attended and graduated from Emory University School Of Medicine in 2001
NPI Data:
- NPI Number: 1912054206
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 05/03/2008
Medicare PECOS Information:
- PECOS PAC ID: 0345311585
- Enrollment ID: I20080617000113
Medical Identifiers
Medical identifiers for Tejal Haresh Desai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912054206 | NPI | - | NPPES |
| 00591324J | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 003950 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
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. Tejal Haresh Desai allows following entities to bill medicare on her behalf.
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442 |
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| Entity Name | Mak Anesthesia Holdings, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563 |
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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. Tejal Haresh Desai 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 |
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Tejal Haresh Desai, AA
2171 West Park Court, Suite A,
Stone Mountain, GA 30087-3555
Ph: (678) 514-2640 | Tejal Haresh Desai, AA
2171 West Park Court, Suite A,
Stone Mountain, GA 30087-3555
Ph: (678) 514-2640 |
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