Mrs Diane Lynn Destefano, APRN in Mount Carmel, IL

Mrs Diane Lynn Destefano, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Mount Carmel, Illinois. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wabash General Hospital District and her current practice location is 1123 Chestnut St, Mount Carmel, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 263-4376.

Mrs Diane Lynn Destefano is licensed to practice in Illinois (license number 209009671) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063797314.

Contact Information

	Mrs Diane Lynn Destefano, APRN
	1123 Chestnut St, Mount Carmel, IL 62863-1212
	(618) 263-4376
	(618) 262-7970

Map and Direction

Provider's Profile

Full Name	Mrs Diane Lynn Destefano
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1123 Chestnut St, Mount Carmel, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Diane Lynn Destefano graduated from nursing school in 2011

NPI Data:

NPI Number: 1063797314
Provider Enumeration Date: 10/19/2011
Last Update Date: 06/10/2014

Medicare PECOS Information:

PECOS PAC ID: 2264606995
Enrollment ID: I20130328000349

Medical Identifiers

Medical identifiers for Mrs Diane Lynn Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063797314	NPI	-	NPPES
209009671	Other	IL	ILLINOIS APN LICENSE
3007204	Other	KY	KY LIC
71003775A	Other	IN	IN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209009671 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lhc-illinois Home Health Care	Marion, IL	Home health agency
Wabash General Hospital 1	Mount carmel, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wabash General Hospital District	8022908185	49

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. Mrs Diane Lynn Destefano allows following entities to bill medicare on her behalf.

Entity Name	Wabash General Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295834208 PECOS PAC ID: 8022908185 Enrollment ID: O20040319001265

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. Mrs Diane Lynn 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
Mrs Diane Lynn Destefano, APRN 1123 Chestnut St, Mount Carmel, IL 62863-1212 Ph: (618) 263-4376	Mrs Diane Lynn Destefano, APRN 1123 Chestnut St, Mount Carmel, IL 62863-1212 Ph: (618) 263-4376

Reviews and Comments

Nurse Practitioner Nurses in Mount Carmel, IL

Casey J Ikemire, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 Oak St, Mount Carmel, IL 62863 Phone: 618-263-6575
Mrs. Lori Ann Phillips, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7747 E 350 Rd, Mount Carmel, IL 62863 Phone: 618-446-3124
Brooke Nicole Ile, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1123 Chestnut St, Mount Carmel, IL 62863 Phone: 618-263-4376 Fax: 618-262-7970
Mrs. Stephanie Marie Owen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1106 Oak St, Mount Carmel, IL 62863 Phone: 618-263-6575 Fax: 618-262-4468
Mrs. Lynn Carol Phillippe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 N Market St, Mount Carmel, IL 62863 Phone: 618-263-4970 Fax: 618-263-4837
Angela Gaddis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 317-613-1006

Mrs Diane Lynn Destefano, APRN - Medicare Nurse Practitioner in Mount Carmel, IL