Desta Rowena Anthony, ANP - Medicare Nurse Practitioner in Manlius, NY

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Desta Rowena Anthony, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Manlius, New York. She graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc, Desta Anthony Mobile Np Adult Health Pllc and her current practice location is 8241 Penstock Way, Manlius, New York. You can reach out to her office (for appointments etc.) via phone at (315) 559-1965.

Desta Rowena Anthony is licensed to practice in New York (license number F303332) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1093721102.

Contact Information

Desta Rowena Anthony, ANP
8241 Penstock Way,
Manlius, NY 13104-9401
(315) 559-1965
(833) 606-0692

Map and Direction




Provider's Profile

Full NameDesta Rowena Anthony
GenderFemale
SpecialityNurse Practitioner
Experience24 Years
Location8241 Penstock Way, Manlius, New York
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Desta Rowena Anthony graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1093721102
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 11/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6002906161
  • Enrollment ID: I20071213000490

Medical Identifiers

Medical identifiers for Desta Rowena Anthony such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093721102NPI-NPPES
02207207MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F303332 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nascentia Health At HomeSyracuse, NYHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Select Pt, Ot And Slp Rehabilitation Ny, Pllc3870986656138
Desta Anthony Mobile Np Adult Health Pllc56981898352

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. Desta Rowena Anthony allows following entities to bill medicare on her behalf.
Entity NameLoretto Rest Realty Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548366271
PECOS PAC ID: 3678560703
Enrollment ID: O20040429000502
Entity NameDesta Anthony Mobile Np Adult Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679188494
PECOS PAC ID: 5698189835
Enrollment ID: O20210128001992
Entity NameGuardian Biologics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033890876
PECOS PAC ID: 8123481470
Enrollment ID: O20240208001480

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. Desta Rowena Anthony 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
Desta Rowena Anthony, ANP
8241 Penstock Way,
Manlius, NY 13104-9401

Ph: (315) 559-1965		Desta Rowena Anthony, ANP
8241 Penstock Way,
Manlius, NY 13104-9401

Ph: (315) 559-1965

Reviews and Comments


Nurse Practitioner Nurses in Manlius, NY

Ms. Geraldine Mary Dicosimo, M.S., R.N., C.S.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8112 Cazenovia Road, Seven Pines Office Bldg. One, Suite 3, Manlius, NY 13104
Phone: 315-682-0726    
Joyce Scarpinato, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 308 W Seneca St, Manlius, NY 13104
Phone: 315-682-5080    Fax: 315-682-8847
Gabrielle Mari Masse, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4440 Brickyard Falls Rd, Manlius, NY 13104
Phone: 315-552-4695    
Mrs. Karen A Zamniak, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8112 Cazenovia Rd, Weight Loss Institute Of Cny, Manlius, NY 13104
Phone: 315-682-1689    
Mrs. Susan Marjorie Jenner, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Stickley Dr, Manlius, NY 13104
Phone: 315-682-5500    Fax: 315-682-8669

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.