John J Distazio, D.p.m., P.c. in Homestead, PA - Medicare Podiatrist Provider

John J Distazio, D.p.m., P.c. is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Homestead, Pennsylvania. Their current practice location is 495 E Waterfront Drive, Suite 230, Homestead, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at (412) 461-1108.

John J Distazio, D.p.m., P.c. is licensed to practice in Pennsylvania (license number SC002842L) and it also participates in the medicare program. John J Distazio, D.p.m., P.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1316123052.

Contact Information

	John J Distazio, D.p.m., P.c.
	495 E Waterfront Drive, Suite 230, Homestead, PA 15120-1151
	(412) 461-1108
	(412) 461-5490

Map and Direction

Healthcare Provider's Profile

Full Name	John J Distazio, D.p.m., P.c.
Type	Facility
Speciality	Podiatrist - Foot & Ankle Surgery
Location	495 E Waterfront Drive, Homestead, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316123052
Provider Enumeration Date: 01/11/2008
Last Update Date: 04/02/2008

Medicare PECOS Information:

PECOS PAC ID: 4587749486
Enrollment ID: O20080317000094

Medical Identifiers

Medical identifiers for John J Distazio, D.p.m., P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316123052	NPI	-	NPPES
1316123052	Other	PA	MC GROUP NPI NUMBER
1366414088	Other	PA	INDIVIDUAL NPI NUMBER
175132XXX	Other	PA	MC GROUP PROVIDER NUMBER
175132	Other	PA	MEDICARE LEGACY NUMBER
0010941370001	Medicaid	PA

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. John J Distazio, D.p.m., P.c. acts as a billing entity for following providers:

Provider Name	John J Distazio
Provider Type	Practitioner - Podiatry
Provider Identifiers	NPI Number: 1366414088 PECOS PAC ID: 8527140714 Enrollment ID: I20080128000030

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, D.p.m., P.c. 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, D.p.m., P.c. 495 E Waterfront Drive, Suite 230, Homestead, PA 15120-1151 Ph: (412) 461-1108	John J Distazio, D.p.m., P.c. 495 E Waterfront Drive, Suite 230, Homestead, PA 15120-1151 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, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 495 Waterfront Dr E, 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, D.p.m., P.c. - Medicare Podiatrist in Homestead, PA