Dr Lisa G Distefano, MD - Medicare Internal Medicine in Maryville, MO

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Dr Lisa G Distefano, MD is a medicare enrolled "Internal Medicine" physician in Maryville, Missouri. She went to Tulane University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Mosaic Medical Center - Maryville and her current practice location is 2016 S Main St, Maryville, Missouri. You can reach out to her office (for appointments etc.) via phone at (660) 562-2525.

Dr Lisa G Distefano is licensed to practice in Missouri (license number 119536) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003810789.

Contact Information

Dr Lisa G Distefano, MD
2016 S Main St,
Maryville, MO 64468-2655
(660) 562-2525
(660) 562-7993

Map and Direction




Physician's Profile

Full NameDr Lisa G Distefano
GenderFemale
SpecialityInternal Medicine
Experience30 Years
Location2016 S Main St, Maryville, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa G Distefano attended and graduated from Tulane University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1003810789
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 11/09/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4183768427
  • Enrollment ID: I20100224000412

Medical Identifiers

Medical identifiers for Dr Lisa G Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003810789NPI-NPPES
0520171MedicaidIA
204665202MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 119536 (Missouri)Primary
208000000XPediatrics 119536 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mosaic Life Care Home HealthSaint joseph, MOHome health agency
Mosaic Life Care HospiceSaint joseph, MOHospice
Ssm Health St. Francis Hospital- MaryvilleMaryville, MOHospital
Mosaic Life Care At St JosephSaint joseph, MOHospital
Mosaic Medical Center AlbanyAlbany, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mosaic Medical Center - Maryville367881389689

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 Lisa G Distefano allows following entities to bill medicare on her behalf.
Entity NameMosaic Medical Center - Maryville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184189797
PECOS PAC ID: 3678813896
Enrollment ID: O20190405001537

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 Lisa G Distefano 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 AddressPractice Location Address
Dr Lisa G Distefano, MD
114 E South Hills Dr,
Maryville, MO 64468-2659

Ph: (660) 562-2525		Dr Lisa G Distefano, MD
2016 S Main St,
Maryville, MO 64468-2655

Ph: (660) 562-2525

Reviews and Comments


Internal Medicine Doctors in Maryville, MO

Dr. Amrit P. Singh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 114 E South Hills Dr, Maryville, MO 64468
Phone: 660-562-2525    Fax: 562-260-3403
Dr. Kanti L. Havaldar, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2016 S Main St, Maryville, MO 64468
Phone: 660-562-2525    Fax: 660-562-7993
Dr. David Steele, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: St. Francis Hospital, Emergency Department, 2016 South Main St, Maryville, MO 64468
Phone: 660-562-7918    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.