Amy Destefano, MD in Raleigh, NC - Medicare Emergency Medicine

Amy Destefano, MD is a medicare enrolled "Emergency Medicine" physician in Raleigh, North Carolina. Her current practice location is 4420 Lake Boone Trl, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 784-3100.

Amy Destefano is licensed to practice in North Carolina (license number 36096) 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 1154421188.

Contact Information

	Amy Destefano, MD
	4420 Lake Boone Trl, Raleigh, NC 27607-7505
	(919) 784-3100
	Not Available

Map and Direction

Physician's Profile

Full Name	Amy Destefano
Gender	Female
Speciality	Emergency Medicine
Location	4420 Lake Boone Trl, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154421188
Provider Enumeration Date: 09/22/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4587613484
Enrollment ID: I20050118000840

Medical Identifiers

Medical identifiers for Amy Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154421188	NPI	-	NPPES
891041M	Medicaid	NC
1041M	Other	NC	BLUE SHIELD
P00184463	Other	NC	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	36096 (North Carolina)	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. Amy Destefano 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
Amy Destefano, MD 2501 Blue Ridge Rd Ste 250, Raleigh, NC 27607-6346 Ph: (919) 863-4128	Amy Destefano, MD 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3100

Reviews and Comments

Emergency Medicine Doctors in Raleigh, NC

Hershell Cassell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-620-4467
Christopher Occhino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4513 Pitt St, Raleigh, NC 27609 Phone: 716-725-9852 Fax: 716-204-4501
Tina M Tamaddon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073
Rodney L Mccaskill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073
Colleen C Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100
Damian Francis Mchugh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100
James M Merritt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073

Amy Destefano, MD - Medicare Emergency Medicine in Raleigh, NC