Dr John Destefano, DPM is a medicare enrolled "Podiatrist" provider in Fort Polk, Louisiana. His current practice location is
1585 3rd St, Fort Polk, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 531-3427.
Dr John Destefano is licensed to practice in Florida (license number PO 3715) 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 1124289111.
Healthcare Provider's Profile
Full Name | Dr John Destefano |
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Gender | Male |
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Speciality | Podiatrist |
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Location | 1585 3rd St, Fort Polk, Louisiana |
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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: 1124289111
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 10/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507020153
- Enrollment ID: I20150901001961
Medical Identifiers
Medical identifiers for Dr John Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124289111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | PO 3715 (Florida) | 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. Dr John Destefano allows following entities to bill medicare on his behalf.
Provider Name | Foot And Ankle Care Of The Island Coast Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1750437166 PECOS PAC ID: 9537142229 Enrollment ID: O20040612000012 |
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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. Dr John 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 |
Dr John Destefano, DPM 7720 Us Highway 98 W, Suite 340, Miramar Beach, FL 32550-7230 Ph: () - | Dr John Destefano, DPM 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 531-3427 |
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