Jacqueline A M Di Stefano, PA-C in Glendale, CA

Jacqueline A M Di Stefano, PA-C is a medicare enrolled "Emergency Medicine" physician in Glendale, California. Her current practice location is 1420 S Central Ave, Glendale, California. You can reach out to her office (for appointments etc.) via phone at (818) 502-1900.

Jacqueline A M Di Stefano is licensed to practice in California (license number 57100) 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 1801439211.

Contact Information

	Jacqueline A M Di Stefano, PA-C
	1420 S Central Ave, Glendale, CA 91204-2594
	(818) 502-1900
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline A M Di Stefano
Gender	Female
Speciality	Emergency Medicine
Location	1420 S Central Ave, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801439211
Provider Enumeration Date: 10/18/2019
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3173912078
Enrollment ID: I20211221001994

Medical Identifiers

Medical identifiers for Jacqueline A M Di Stefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801439211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	57100 (California)	Primary

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. Jacqueline A M Di Stefano 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
Jacqueline A M Di Stefano, PA-C 1420 S Central Ave, Glendale, CA 91204-2508 Ph: () -	Jacqueline A M Di Stefano, PA-C 1420 S Central Ave, Glendale, CA 91204-2594 Ph: (818) 502-1900

Reviews and Comments

Emergency Medicine Doctors in Glendale, CA

Cheryl Lee Jang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206 Phone: 818-863-4000
Dr. Josiah Friedlander, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1420 S Central Ave, Glendale, CA 91204 Phone: 818-502-2344 Fax: 818-502-4501
Dr. Gil Z Shlamovitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100
Tyler Ronnfeldt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100
Peter Utas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206 Phone: 818-409-8000
Peter E Shin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1509 Wilson Ter, Emergency Dept. - Glendale Adventist Medical Center, Glendale, CA 91206 Phone: 818-409-8000
Dr. Ryan Raam, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100

Jacqueline A M Di Stefano, PA-C - Medicare Emergency Medicine in Glendale, CA