Donna Distefano, LCSW LCADC is a medicare enrolled "Social Worker - Clinical" provider in Highland Park, New Jersey. Her current practice location is
320 Raritan Ave, Suite 307 A, Highland Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 266-5151.
Donna Distefano is licensed to practice in New Jersey (license number 44SC05181100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760560049.
Healthcare Provider's Profile
Full Name | Donna Distefano |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 320 Raritan Ave, Highland Park, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760560049
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 09/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 5092772657
- Enrollment ID: I20140127000360
Medical Identifiers
Medical identifiers for Donna Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760560049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00123500 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC05181100 (New Jersey) | 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. Donna Distefano 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 |
Donna Distefano, LCSW LCADC 320 Raritan Ave, Suite 307 A, Highland Park, NJ 08904-2752 Ph: (732) 266-5151 | Donna Distefano, LCSW LCADC 320 Raritan Ave, Suite 307 A, Highland Park, NJ 08904-2752 Ph: (732) 266-5151 |
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