Alison Destefano, MS, CCC-SLP in Medford, MA - Medicare Speech-Language Pathologist Provider

Alison Destefano, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Medford, Massachusetts. Her current practice location is 619 Boston Ave Apt 1, Medford, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 572-4555.

Alison Destefano is licensed to practice in Massachusetts (license number 76791) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104404623.

Contact Information

	Alison Destefano, MS, CCC-SLP
	619 Boston Ave Apt 1, Medford, MA 02155-1375
	(781) 572-4555
	(855) 232-8604

Map and Direction

Healthcare Provider's Profile

Full Name	Alison Destefano
Gender	Female
Speciality	Speech-language Pathologist
Location	619 Boston Ave Apt 1, Medford, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104404623
Provider Enumeration Date: 03/29/2021
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3577962554
Enrollment ID: I20210524002612

Medical Identifiers

Medical identifiers for Alison Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104404623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	76791 (Massachusetts)	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. Alison Destefano allows following entities to bill medicare on her behalf.

Provider Name	Functional Pathways Preferred Of Tennessee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20180416000825

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. Alison 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
Alison Destefano, MS, CCC-SLP 619 Boston Ave Apt 1, Medford, MA 02155-1375 Ph: (781) 572-4555	Alison Destefano, MS, CCC-SLP 619 Boston Ave Apt 1, Medford, MA 02155-1375 Ph: (781) 572-4555

Reviews and Comments

Speech-Language Pathologist in Medford, MA

Rachel Dorsey, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 High St Ste 15, Medford, MA 02155 Phone: 607-882-1816
Martha B. Bargmann, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 781-306-5255
Lee Robin Richardson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Governors Ave, Medford, MA 02155 Phone: 781-391-5400
Lisa Marie Moran, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Governors Ave, Medford, MA 02155 Phone: 781-391-5400
Mr. Scott Thomas Prendergast, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Governors Ave, Medford, MA 02155 Phone: 781-391-5400
Mrs. Shauna Marie Dube, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Governors Ave, Medford, MA 02155 Phone: 781-391-5400 Fax: 781-396-0649

Alison Destefano, MS, CCC-SLP - Medicare Speech-Language Pathologist in Medford, MA