Dr Paul M Destefanis, DDS - Medicare Dentist in Elm Grove, WI

Dr Paul M Destefanis, DDS is a medicare enrolled "Dentist - General Practice" provider in Elm Grove, Wisconsin. His current practice location is 1050 Legion Dr, Elm Grove, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 782-5400.

Dr Paul M Destefanis is licensed to practice in Wisconsin (license number 4675) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023161304.

Contact Information

Dr Paul M Destefanis, DDS
1050 Legion Dr,
Elm Grove, WI 53122-2230
(262) 782-5400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Paul M Destefanis
GenderMale
SpecialityDentist - General Practice
Location1050 Legion Dr, Elm Grove, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023161304
  • Provider Enumeration Date: 01/19/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0648569053
  • Enrollment ID: I20160525000046

Medical Identifiers

Medical identifiers for Dr Paul M Destefanis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023161304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4675 (Wisconsin)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. Dr Paul M Destefanis 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 AddressPractice Location Address
Dr Paul M Destefanis, DDS
525 Riverview Dr,
Thiensville, WI 53092-1745

Ph: (262) 782-5400
Dr Paul M Destefanis, DDS
1050 Legion Dr,
Elm Grove, WI 53122-2230

Ph: (262) 782-5400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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