Dr Andra Dawn Distefano, MD in Baltimore, MD

Dr Andra Dawn Distefano, MD is a medicare enrolled "Anesthesiology" physician in Baltimore, Maryland. Her current practice location is 22 S Greene St, Suite S11c07, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 328-9909.

Dr Andra Dawn Distefano is licensed to practice in Maryland (license number D0070662) 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 1144421975.

Contact Information

	Dr Andra Dawn Distefano, MD
	22 S Greene St, Suite S11c07, Baltimore, MD 21201-1544
	(410) 328-9909
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Andra Dawn Distefano
Gender	Female
Speciality	Anesthesiology
Location	22 S Greene St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144421975
Provider Enumeration Date: 05/30/2007
Last Update Date: 06/07/2021

Medicare PECOS Information:

PECOS PAC ID: 5799971545
Enrollment ID: I20101119000330

Medical Identifiers

Medical identifiers for Dr Andra Dawn Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144421975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A103969 (California)	Secondary
207R00000X	Internal Medicine	MT188256 (Pennsylvania)	Secondary
207L00000X	Anesthesiology	D0070662 (Maryland)	Primary

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. Dr Andra Dawn Distefano allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Anesthesiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720024235 PECOS PAC ID: 8022905306 Enrollment ID: O20040302000341

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1457023616 PECOS PAC ID: 3779495858 Enrollment ID: O20220105001262

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 Andra Dawn 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
Dr Andra Dawn Distefano, MD 1202 Southview Rd, Baltimore, MD 21218-1400 Ph: () -	Dr Andra Dawn Distefano, MD 22 S Greene St, Suite S11c07, Baltimore, MD 21201-1544 Ph: (410) 328-9909

Reviews and Comments

Anesthesiology Doctors in Baltimore, MD

Kathryn Rosenblatt, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 410-955-7461 Fax: 410-614-7903
Dr. Tiffani Danielle Pittman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5601 Loch Raven Blvd, Baltimore, MD 21239 Phone: 443-444-4863 Fax: 443-444-4997
Aaron Sachs, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 22 S Greene St # S11c, University Of Maryland Department Of Anesthesia, Baltimore, MD 21201 Phone: 410-328-1239
Lynette Mark, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6353
Charles Lin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 Canton Ave, Baltimore, MD 21229 Phone: 410-368-3045 Fax: 410-951-4009
Dr. Jasjit B Atwal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 110 S Paca St, Suite 300 6th Fl, Baltimore, MD 21201 Phone: 410-328-6720 Fax: 410-328-1674
Dr. Gerard Limerick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe Street, Nelson 2-131, Baltimore, MD 21287 Phone: 410-955-1818 Fax: 410-502-0541

Dr Andra Dawn Distefano, MD - Medicare Anesthesiology in Baltimore, MD