MARIE-JEANNE DESRAVINES M.D.
NPI 1285741199
Family Medicine in Fulton, NY

Q: What is Marie-jeanne Desravines's NPI number?

The NPI number for Marie-jeanne Desravines is 1285741199. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Marie-jeanne Desravines's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment

522 S 4TH ST, SUITE 500, FULTON, NY 13069(315) 598-4740(315) 598-4719 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marie-jeanne Desravines M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE-JEANNE DESRAVINES M.D. (NPI 1285741199) is an individual family medicine provider in Fulton, New York, licensed in New York (221962) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of State University Of Ny Upstate Medical University (1994).

NPPES Registry Identity

NPI1285741199

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIE-JEANNE DESRAVINESCredential: M.D.

Location Address522 S 4TH ST, SUITE 500Fulton, NY 13069-2946

Mailing Address239 Oneida StFulton, NY 13069-1228 · (315) 598-4715 · Fax (315) 598-4733

Phone(315) 598-4740

Fax(315) 598-4719

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1994

Enumeration DateAugust 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285741199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 221962

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

522 S 4TH ST, Fulton, NY 13069

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Other Identifiers 2

Medicare ID-Type UnspecifiedCC7098NY

Medicare UPINH43037NY

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

Marie-jeanne Desravines M.d. 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.

PECOS PAC ID5496761538

PECOS Enrollment IDI20060228000246

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oswego Hospital

Acute Care Hospitals · Oswego, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330218

Location110 West Sixth StreetOswego, NY 13126 · Oswego County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers14 claims39 services$4.90 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier13 claims780 services$1.27 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

1 supplier12 claims96 services$1.41 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers35 claims36 services$12.97 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers12 claims12 services$2.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA GOUTERMOUT NP

Nurse Practitioner

522 S 4TH ST
FULTON, NY 13069

Oswego County (315) 592-3930

MARIE E. CASTILLO-ALCASID M.D.

Internal Medicine

522 S 4TH ST, SUITE 500
FULTON, NY 13069

Oswego County (315) 598-4740

KIMBERLY ANNE POWERS LMHC

Counselor (Mental Health)

522 S 4TH ST
FULTON, NY 13069

Oswego County (315) 598-7400

KYLIE M. LACEY N.P.

Nurse Practitioner (Family)

522 S 4TH ST, SUITE 500
FULTON, NY 13069

Oswego County (315) 598-4740

M ZAEEM ANSARI, M.D., P.C.

Internal Medicine (Cardiovascular Disease)

522 S 4TH ST, SUITE 1500
FULTON, NY 13069

Oswego County (315) 593-2010

JAYAKUMAR THOTAMBILU, PHYSICIAN, P.C.

Specialist

522 S 4TH ST, SUITE 1300
FULTON, NY 13069

Oswego County (315) 592-4000

SUSAN A. KRZYZAK N.P.

Nurse Practitioner (Family)

522 S 4TH ST, SUITE 500
FULTON, NY 13069

Oswego County (315) 598-4740

DR. ANDREW ROGALL M.D.

Family Medicine

522 S 4TH ST
FULTON, NY 13069

Oswego County (315) 592-3930

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 Marie-jeanne Desravines's NPI number?

The NPI number for Marie-jeanne Desravines is 1285741199. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Marie-jeanne Desravines located?

Marie-jeanne Desravines practices at 522 S 4th St Suite 500, Fulton, NY 13069. The listed phone number is (315) 598-4740.

What is Marie-jeanne Desravines's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marie-jeanne Desravines enrolled in Medicare?

Yes. Marie-jeanne Desravines 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.

Is Marie-jeanne Desravines affiliated with any hospitals?

According to CMS data, Marie-jeanne Desravines is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Marie-jeanne Desravines was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.