Dr Joseph Distefano, DPM | |
958 Joe Frank Harris Pkwy Se Bldg A106, Cartersville, GA 30120-2151 | |
(770) 386-1389 | |
(770) 386-4894 |
Full Name | Dr Joseph Distefano |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 11 Years |
Location | 958 Joe Frank Harris Pkwy Se Bldg A106, Cartersville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013357383 | NPI | - | NPPES |
003258042C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 01669 (Maryland) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001323 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cartersville Medical Center | Cartersville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ankle And Foot Centers Of Georgia, Llc | 8022295294 | 46 |
Provider Name | Ankle And Foot Centers Of Georgia, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992003479 PECOS PAC ID: 8022295294 Enrollment ID: O20110616000039 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Distefano, DPM 1975 Highway 54 W Ste 205, Peachtree City, GA 30269-4794 Ph: (678) 902-0457 | Dr Joseph Distefano, DPM 958 Joe Frank Harris Pkwy Se Bldg A106, Cartersville, GA 30120-2151 Ph: (770) 386-1389 |
Fisher Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1124 North Tennessee St, Suite 104, Cartersville, GA 30120 Phone: 770-386-4111 Fax: 770-386-4905 | |
Charles Jeffrey Sidlow, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 958 Joe Frank Harris Pkwy Se Bldg A, Suite 106, Cartersville, GA 30120 Phone: 770-386-1389 Fax: 770-386-4894 | |
Katie Hoang Gusching, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 175 Pine Grove Rd Ste 115, Cartersville, GA 30120 Phone: 770-383-1883 Fax: 770-415-4095 | |
Sharadha Krishnappan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 Market Place Blvd Ste 302, Cartersville, GA 30121 Phone: 470-790-2008 Fax: 470-315-1517 | |
Dr. Lance Douglas Barry, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18 Felton Pl, Cartersville, GA 30120 Phone: 770-386-8620 Fax: 770-386-8620 | |
Village Podiatry Group Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 100 Market Place Blvd Ste 302, Cartersville, GA 30121 Phone: 770-771-6991 |