MARY SHIRLEY DESORMES PA
NPI 1063641009
Physician Assistant in Jamaica, NY
About Mary Shirley Desormes Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY SHIRLEY DESORMES PA (NPI 1063641009) is an individual physician assistant in Jamaica, New York, licensed in New York (008617-1) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Shirley Desormes Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JAMAICA, NY 11432
JAMAICA, NY 11432
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Desormes's NPI number?
The NPI number for Mary Desormes is 1063641009. It was assigned to this individual provider in the NPPES registry on July 13, 2009.
Where is Mary Desormes located?
Mary Desormes practices at 82-68 164 Street Queens Hospital Center, Jamaica, NY 11432. The listed phone number is (718) 658-5480.
What is Mary Desormes's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mary Desormes enrolled in Medicare?
Yes. Mary Desormes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mary Desormes accept?
Health plans from Blue Cross and Blue Shield of NC, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Mary Desormes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Desormes was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Shirley Desormes, PA · NPI 1063641009
Physician Assistant physician in Jamaica, New York. Individual provider, active in the CMS NPPES registry since July 13, 2009.
## Identity
- **NPI:** 1063641009 (Entity type: Individual)
- **Enumerated:** July 13, 2009
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 008617-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 82-68 164 STREET, QUEENS HOSPITAL CENTER, Jamaica, NY 11432
- **Phone:** (718) 658-5480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** October 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063641009) · Data from the CMS NPPES public registry.