Casey Distaso, MD in West Hollywood, CA - Medicare Emergency Medicine

Casey Distaso, MD is a medicare enrolled "Emergency Medicine" physician in West Hollywood, California. He went to Georgetown University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Vanderbilt University Medical Center and his current practice location is 8700 Beverly Blvd, West Hollywood, California. You can reach out to his office (for appointments etc.) via phone at (310) 423-8780.

Casey Distaso is licensed to practice in California (license number A196321) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003311747.

Contact Information

	Casey Distaso, MD
	8700 Beverly Blvd, West Hollywood, CA 90048-1804
	(310) 423-8780
	Not Available

Map and Direction

Physician's Profile

Full Name	Casey Distaso
Gender	Male
Speciality	Emergency Medicine
Experience	6 Years
Location	8700 Beverly Blvd, West Hollywood, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Casey Distaso attended and graduated from Georgetown University School Of Medicine in 2018

NPI Data:

NPI Number: 1003311747
Provider Enumeration Date: 03/26/2018
Last Update Date: 06/07/2024

Medicare PECOS Information:

PECOS PAC ID: 1456608074
Enrollment ID: I20210721000405

Medical Identifiers

Medical identifiers for Casey Distaso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003311747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	62985 (Tennessee)	Secondary
207P00000X	Emergency Medicine	125.072192 (Illinois)	Secondary
2083C0008X	Preventive Medicine - Clinical Informatics	A196321 (California)	Secondary
207P00000X	Emergency Medicine	A196321 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vanderbilt University Medical Center	Nashville, TN	Hospital
Tennova Healthcare-harton	Tullahoma, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vanderbilt University Medical Center	5092023416	2742

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Casey Distaso allows following entities to bill medicare on his behalf.

Entity Name	Vanderbilt University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Casey Distaso 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
Casey Distaso, MD 4140 W 190th St, Torrance, CA 90504-5513 Ph: () -	Casey Distaso, MD 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 423-8780

Reviews and Comments

Emergency Medicine Doctors in West Hollywood, CA

Maximilian Hawkins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780
Shant Pezeshkian, DO, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780
Dr. Wendy Denham, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-967-1884 Fax: 310-937-1744
Dr. Kelly Painter, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 323-967-1884 Fax: 323-967-1744
Dr. Stephen Gregory Kefalas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8753
Vanessa Beckett, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780

Casey Distaso, MD - Medicare Emergency Medicine in West Hollywood, CA