Elise K Distefano, PA-C - Medicare Physician Assistant in Farmington, MO

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Elise K Distefano, PA-C is a medicare enrolled "Physician Assistant" in Farmington, Missouri. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Physician Groups Lc, Ste Genevieve County Memorial Hospital and her current practice location is 1103 W Liberty St, Farmington, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 760-8090.

Elise K Distefano is licensed to practice in Missouri (license number 2024039608) 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 1104659713.

Contact Information

Elise K Distefano, PA-C
1103 W Liberty St,
Farmington, MO 63640-1921
(573) 760-8090
(573) 760-8260

Map and Direction




Provider's Profile

Full NameElise K Distefano
GenderFemale
SpecialityPhysician Assistant
Experience2 Years
Location1103 W Liberty St, Farmington, 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:
  • Elise K Distefano graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1104659713
  • Provider Enumeration Date: 08/21/2024
  • Last Update Date: 10/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2769914183
  • Enrollment ID: I20241010000824

Medical Identifiers

Medical identifiers for Elise K Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104659713NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2024039608 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterCape girardeau, MOHospital
Iron County Medical CenterPilot knob, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Groups Lc3072421254526
Ste Genevieve County Memorial Hospital327443280274

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. Elise K Distefano allows following entities to bill medicare on her behalf.
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184658387
PECOS PAC ID: 3274432802
Enrollment ID: O20040102000645
Entity NameSaint Francis Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356304489
PECOS PAC ID: 9931007929
Enrollment ID: O20040107000140
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619026580
PECOS PAC ID: 3274432802
Enrollment ID: O20040204000815
Entity NamePhysician Groups LC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285664268
PECOS PAC ID: 3072421254
Enrollment ID: O20040220001157
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730238551
PECOS PAC ID: 3274432802
Enrollment ID: O20040310001286
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801817416
PECOS PAC ID: 3274432802
Enrollment ID: O20040617000089
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1073587655
PECOS PAC ID: 3274432802
Enrollment ID: O20150206000670

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. Elise K 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
Elise K Distefano, PA-C
Po Box 959354,
Saint Louis, MO 63195-9354

Ph: (573) 760-8090		Elise K Distefano, PA-C
1103 W Liberty St,
Farmington, MO 63640-1921

Ph: (573) 760-8090

Reviews and Comments


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Practice Location: 1103 W Liberty St, Farmington, MO 63640
Phone: 573-760-8090    Fax: 573-760-8260

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.