Mr George Destefano, RN in Flagstaff, AZ - Medicare Nurse Practitioner

Mr George Destefano, RN is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Flagstaff, Arizona. His current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 779-3366.

Mr George Destefano is licensed to practice in Arizona (license number RN083316) 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 1235386913.

Contact Information

	Mr George Destefano, RN
	1200 N Beaver St, Flagstaff, AZ 86001-3118
	(928) 779-3366
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr George Destefano
Gender	Male
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235386913
Provider Enumeration Date: 08/25/2008
Last Update Date: 11/19/2009

Medicare PECOS Information:

PECOS PAC ID: 4284750118
Enrollment ID: I20100928000977

Medical Identifiers

Medical identifiers for Mr George Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235386913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	RN083316 (Arizona)	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. Mr George Destefano allows following entities to bill medicare on his behalf.

Entity Name	Flagstaff Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780635078 PECOS PAC ID: 2769392554 Enrollment ID: O20031230000199

Entity Name	Verde Valley Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346291648 PECOS PAC ID: 7719898204 Enrollment ID: O20040202000833

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. Mr George Destefano 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
Mr George Destefano, RN 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 779-3366	Mr George Destefano, RN 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 779-3366

Reviews and Comments

Nurse Practitioner Nurses in Flagstaff, AZ

Dr. Sarah Lynn Salce, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6401
Wyatt D Woodard, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 N Leroux St, Ste B, Flagstaff, AZ 86001 Phone: 928-779-0361 Fax: 928-779-7143
Mr. Richard R Valdes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6100 Fax: 928-774-4808
Ms. Sherry Ann Mace, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 301, Flagstaff, AZ 86001 Phone: 928-773-2538
Ms. Julie Marie Polzin, RN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001 Phone: 928-913-8800 Fax: 928-913-8801
Dr. Evenstar Amelia Forbach, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7510 W Bridle Trl, Flagstaff, AZ 86001 Phone: 928-600-1731
Ms. Sarah Mcnaughton Preston, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1424 N Evergreen Dr, Flagstaff, AZ 86001 Phone: 928-699-9777

Mr George Destefano, RN - Medicare Nurse Practitioner in Flagstaff, AZ