Elizabeth Noel Distefano, OD is a medicare enrolled "Optometrist" provider in Wayne, West Virginia. She went to Indiana University - School Of Optometry and graduated in 2011 and has 13 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Valley Health Systems, Inc and her current practice location is
42 Mcginnis Dr, Wayne, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 272-5136.
Elizabeth Noel Distefano is licensed to practice in West Virginia (license number 2045-IOD) 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 1639458276.
Healthcare Provider's Profile
Full Name | Elizabeth Noel Distefano |
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Gender | Female |
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Speciality | Optometry |
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Experience | 13 Years |
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Location | 42 Mcginnis Dr, Wayne, West Virginia |
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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:
- Elizabeth Noel Distefano attended and graduated from Indiana University - School Of Optometry in 2011
NPI Data:
- NPI Number: 1639458276
- Provider Enumeration Date: 08/14/2011
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072860261
- Enrollment ID: I20180718004096
Medical Identifiers
Medical identifiers for Elizabeth Noel Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639458276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 0618002273 (Virginia) | Secondary |
152W00000X | Optometrist | 2045-IOD (West Virginia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Valley Health Systems, Inc | 9931017969 | 54 |
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. Elizabeth Noel Distefano allows following entities to bill medicare on her behalf.
Provider Name | Valley Health Systems, Inc |
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Provider Type | Part B Supplier - Public Health/welfare Agency |
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Provider Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
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Provider Name | Valley Health Systems, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1720333461 PECOS PAC ID: 9931017969 Enrollment ID: O20130319000031 |
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Provider Name | Valley Health Systems, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1376276931 PECOS PAC ID: 9931017969 Enrollment ID: O20221222000849 |
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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. Elizabeth Noel 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 |
Elizabeth Noel Distefano, OD 2585 3rd Ave, Huntington, WV 25703-1642 Ph: (304) 697-1396 | Elizabeth Noel Distefano, OD 42 Mcginnis Dr, Wayne, WV 25570-9553 Ph: (304) 272-5136 |
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