Dr Lisa G Distefano, MD | |
2016 S Main St, Maryville, MO 64468-2655 | |
(660) 562-2525 | |
(660) 562-7993 |
Full Name | Dr Lisa G Distefano |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 2016 S Main St, Maryville, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003810789 | NPI | - | NPPES |
0520171 | Medicaid | IA | |
204665202 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 119536 (Missouri) | Primary |
208000000X | Pediatrics | 119536 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mosaic Life Care Home Health | Saint joseph, MO | Home health agency |
Mosaic Life Care Hospice | Saint joseph, MO | Hospice |
Ssm Health St. Francis Hospital- Maryville | Maryville, MO | Hospital |
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mosaic Medical Center - Maryville | 3678813896 | 76 |
Entity Name | Mosaic Medical Center - Maryville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa G Distefano, MD 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525 | Dr Lisa G Distefano, MD 2016 S Main St, Maryville, MO 64468-2655 Ph: (660) 562-2525 |
Dr. Amrit P. Singh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-2525 Fax: 562-260-3403 | |
Dr. Kanti L. Havaldar, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7993 | |
Dr. David Steele, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: St. Francis Hospital, Emergency Department, 2016 South Main St, Maryville, MO 64468 Phone: 660-562-7918 |