Thomas Destefani, MD in Glen Ellyn, IL

Thomas Destefani, MD is a medicare enrolled "Pediatrics" physician in Glen Ellyn, Illinois. His current practice location is 885 Roosevelt Rd, Glen Ellyn, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 790-1555.

Thomas Destefani is licensed to practice in Illinois (license number 36067872) 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 1588638811.

Contact Information

	Thomas Destefani, MD
	885 Roosevelt Rd, Glen Ellyn, IL 60137-6141
	(630) 790-1555
	(630) 545-3787

Map and Direction

Physician's Profile

Full Name	Thomas Destefani
Gender	Male
Speciality	Pediatrics
Location	885 Roosevelt Rd, Glen Ellyn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588638811
Provider Enumeration Date: 02/14/2006
Last Update Date: 04/03/2013

Medicare PECOS Information:

PECOS PAC ID: 4981518909
Enrollment ID: I20050801001149

Medical Identifiers

Medical identifiers for Thomas Destefani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588638811	NPI	-	NPPES
036067872	Medicaid	IL
487450	Other	IL	MEDICARE PTAN (GROUP)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	36067872 (Illinois)	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. Thomas Destefani allows following entities to bill medicare on his behalf.

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

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. Thomas Destefani 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
Thomas Destefani, MD 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 Ph: (630) 790-1555	Thomas Destefani, MD 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 Ph: (630) 790-1555

Reviews and Comments

Pediatrics Doctors in Glen Ellyn, IL

Tahmineh Abbasian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200
Panorea Mathews-kukla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200
Sarah Choudhry, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave Ste 210, Glen Ellyn, IL 60137 Phone: 630-469-7700 Fax: 630-545-7851
Jayshree Vajaria, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200
Jennifer Blount, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200
Dr. Yasir Kazmi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 430 Pennsylvania Ave, 210, Glen Ellyn, IL 60137 Phone: 630-469-7700
David Morris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200

Thomas Destefani, MD - Medicare Pediatrics in Glen Ellyn, IL