Mary Grace Distefano, RN ANP in Depew, NY - Medicare Nurse Practitioner

Mary Grace Distefano, RN ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Depew, New York. Her current practice location is 3332 Walden Ave Ste 110, Depew, New York. You can reach out to her office (for appointments etc.) via phone at (716) 668-7051.

Mary Grace Distefano is licensed to practice in New York (license number 306403) 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 1710328968.

Contact Information

	Mary Grace Distefano, RN ANP
	3332 Walden Ave Ste 110, Depew, NY 14043-2400
	(716) 668-7051
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Grace Distefano
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	3332 Walden Ave Ste 110, Depew, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710328968
Provider Enumeration Date: 07/16/2013
Last Update Date: 07/16/2013

Medicare PECOS Information:

PECOS PAC ID: 1153645650
Enrollment ID: I20150109000788

Medical Identifiers

Medical identifiers for Mary Grace Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710328968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	306403 (New York)	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. Mary Grace Distefano allows following entities to bill medicare on her behalf.

Entity Name	Trinity Medical Wny Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295043149 PECOS PAC ID: 5193907517 Enrollment ID: O20110307000596

Entity Name	Family Choice Of New York Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720312754 PECOS PAC ID: 1355615477 Enrollment ID: O20170927003380

Entity Name	Care Connect Medical P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457032328 PECOS PAC ID: 0749641736 Enrollment ID: O20230808000676

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. Mary Grace 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
Mary Grace Distefano, RN ANP 28 Park Dr, Williamsville, NY 14221-6935 Ph: (716) 949-1086	Mary Grace Distefano, RN ANP 3332 Walden Ave Ste 110, Depew, NY 14043-2400 Ph: (716) 668-7051

Reviews and Comments

Nurse Practitioner Nurses in Depew, NY

Ashley Anne Baker, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4893 Transit Rd, Depew, NY 14043 Phone: 716-608-7040
Shannon Marie Packard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4893 Transit Rd, Depew, NY 14043 Phone: 716-608-7040 Fax: 716-608-7065
Ms. Lindsay Ashley Gliss, MS PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 64 Colony St, Depew, NY 14043 Phone: 716-684-3974
Dr. Angelyn Arielle Brown, DNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3332 Walden Ave Ste 1100, Depew, NY 14043 Phone: 716-668-7051 Fax: 716-668-7069
Jennifer M Honer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3218 Walden Ave, Depew, NY 14043 Phone: 716-923-4380
Jenna Anne Richey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 571 Terrace Blvd, Depew, NY 14043 Phone: 716-683-4196 Fax: 716-646-0763
Mrs. Katherine Mary Murphy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 Terrace Blvd, Depew, NY 14043 Phone: 716-683-4196

Mary Grace Distefano, RN ANP - Medicare Nurse Practitioner in Depew, NY