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Marion Elsa Gabou Dessalines, PA-C

NPI 1548082647ActiveIndividual· Physician Assistant· Edwardsville, IL

Physician Assistant (PA-C) with Fairview Heights Medical Group SC and 1 other group, practicing in Edwardsville, Illinois. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1548082647
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedOct 29, 2024
Last updated in NPPESJan 30, 2026
Certified by providerJan 30, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X085010947IL
Physician Assistant363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (IL)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Edwardsville

All physician assistants in Illinois