John J Distazio, DPM in Homestead, PA - Medicare Podiatrist Provider

John J Distazio, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Homestead, Pennsylvania. His current practice location is 495 Waterfront Dr E, Suite 230, Homestead, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 461-1108.

John J Distazio is licensed to practice in Pennsylvania (license number SC002842L) 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 1366414088.

Contact Information

	John J Distazio, DPM
	495 Waterfront Dr E, Suite 230, Homestead, PA 15120-1140
	(412) 461-1108
	(412) 461-5490

Map and Direction

Healthcare Provider's Profile

Full Name	John J Distazio
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	495 Waterfront Dr E, Homestead, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366414088
Provider Enumeration Date: 02/06/2006
Last Update Date: 04/20/2010

Medicare PECOS Information:

PECOS PAC ID: 8527140714
Enrollment ID: I20080128000030

Medical Identifiers

Medical identifiers for John J Distazio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366414088	NPI	-	NPPES
0004134486	Other	PA	AETNA PIN
1156610001	Other	PA	DMERC PROV NUMBER
455619	Other	PA	HIGHMARK GRP PROV NUMBER
0010941370001	Medicaid	PA
1009921	Other	PA	GATEWAY HMO NUMBER
1205011277	Other	PA	DMERC NPI NUMBER
1316123052	Other	PA	RR MEDICARE GROUP NPI
175132	Other	PA	HIGHMARK INDIVIDUAL PROV#
175132XXX	Other	PA	MC GROUP PROV NUMBER
1316123052	Other	PA	MC GROUP NPI NUMBER
1710911912	Other	PA	HIGHMARK GROUP NPI NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	SC002842L (Pennsylvania)	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. John J Distazio allows following entities to bill medicare on his behalf.

Provider Name	John J Distazio, D.p.m., P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316123052 PECOS PAC ID: 4587749486 Enrollment ID: O20080317000094

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. John J Distazio 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
John J Distazio, DPM 495 Waterfront Dr E, Suite 230, Homestead, PA 15120-1140 Ph: (412) 461-1108	John J Distazio, DPM 495 Waterfront Dr E, Suite 230, Homestead, PA 15120-1140 Ph: (412) 461-1108

Reviews and Comments

Podiatrist in Homestead, PA

Kathleen M Oconnell Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 495 E Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490
Stanley D Bosta, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 495 Waterfront Dr E, Suite 230, Homestead, PA 15120 Phone: 412-325-0397 Fax: 412-461-5490
Stephen J Kruljac, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 495 East Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490
Sara Sadeghi, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 495 E Waterfront Dr Ste 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490
John J Distazio, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 495 E Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490
Anna Doan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 495 E Waterfront Dr Ste 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490

John J Distazio, DPM - Medicare Podiatrist in Homestead, PA