Mrs Viviana Lorraine Di Stefano, is a medicare enrolled "Physician Assistant" in East Earl, Pennsylvania. Her current practice location is
25 Dawkins Dr, East Earl, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(612) 709-0608.
Mrs Viviana Lorraine Di Stefano is licensed to practice in Idaho (license number PA-2565) 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 1427651033.
Provider's Profile
Full Name | Mrs Viviana Lorraine Di Stefano |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 25 Dawkins Dr, East Earl, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427651033
- Provider Enumeration Date: 11/17/2020
- Last Update Date: 08/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991105124
- Enrollment ID: I20210610000038
Medical Identifiers
Medical identifiers for Mrs Viviana Lorraine Di Stefano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427651033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (Pennsylvania) | Secondary |
363A00000X | Physician Assistant | PA-2565 (Idaho) | Primary |
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 Viviana Lorraine Di Stefano 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 Viviana Lorraine Di Stefano, 25 Dawkins Dr, East Earl, PA 17519-9275 Ph: (612) 709-0608 | Mrs Viviana Lorraine Di Stefano, 25 Dawkins Dr, East Earl, PA 17519-9275 Ph: (612) 709-0608 |
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