Nicholas Carroll Destefano, MD in Fort Gordon, GA

Nicholas Carroll Destefano, MD is a medicare enrolled "General Practice" physician in Fort Gordon, Georgia. He went to Wayne State University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Beebe Physician Network Inc. and his current practice location is 300 E Hospital Rd, Fort Gordon, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 383-5299.

Nicholas Carroll Destefano is licensed to practice in Nebraska (license number 30177) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154776755.

Contact Information

	Nicholas Carroll Destefano, MD
	300 E Hospital Rd, Fort Gordon, GA 30905
	(706) 383-5299
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicholas Carroll Destefano
Gender	Male
Speciality	Family Practice
Experience	10 Years
Location	300 E Hospital Rd, Fort Gordon, 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.

Medical Education and Training:

Nicholas Carroll Destefano attended and graduated from Wayne State University School Of Medicine in 2016

NPI Data:

NPI Number: 1154776755
Provider Enumeration Date: 05/02/2016
Last Update Date: 12/10/2025

Medicare PECOS Information:

PECOS PAC ID: 0446542229
Enrollment ID: I20251219002133

Medical Identifiers

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

Identifier	Type	State	Issuer
1154776755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	30177 (Nebraska)	Primary
207Q00000X	Family Medicine	C1-0028577 (Delaware)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beebe Medical Center	Lewes, DE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beebe Physician Network Inc.	5496744864	291

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. Nicholas Carroll 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
Nicholas Carroll Destefano, MD 300 E Hospital Rd, Fort Gordon, GA 30905 Ph: (706) 383-5299	Nicholas Carroll Destefano, MD 300 E Hospital Rd, Fort Gordon, GA 30905 Ph: (706) 383-5299

Reviews and Comments

General Practice Doctors in Fort Gordon, GA

Gregory Steven Hill, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 300 E Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-5811
James Mooney, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-3143

Nicholas Carroll Destefano, MD - Medicare Family Practice in Fort Gordon, GA