Ericka Marie Distefano, FNP, ACUPUNCTURIST in Gwinn, MI

Ericka Marie Distefano, FNP, ACUPUNCTURIST is a medicare enrolled "Nurse Practitioner - Family" in Gwinn, Michigan. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Upper Great Lakes Family Health Center and her current practice location is 301 Explorer St, Gwinn, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 346-9275.

Ericka Marie Distefano is licensed to practice in Michigan (license number 4704293102) 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 1639749963.

Contact Information

	Ericka Marie Distefano, FNP, ACUPUNCTURIST
	301 Explorer St, Gwinn, MI 49841-2813
	(906) 346-9275
	(906) 372-3230

Map and Direction

Provider's Profile

Full Name	Ericka Marie Distefano
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	301 Explorer St, Gwinn, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ericka Marie Distefano graduated from nursing school in 2021

NPI Data:

NPI Number: 1639749963
Provider Enumeration Date: 06/29/2021
Last Update Date: 02/28/2022

Medicare PECOS Information:

PECOS PAC ID: 3678970613
Enrollment ID: I20210917002408

Medical Identifiers

Medical identifiers for Ericka Marie Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639749963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704293102 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marquette General Hospital	Marquette, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Upper Great Lakes Family Health Center	1951432384	33

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. Ericka Marie Distefano allows following entities to bill medicare on her behalf.

Entity Name	Upper Great Lakes Family Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853

Entity Name	Dlp Marquette Physician Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312

Entity Name	Bell Physician Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578992491 PECOS PAC ID: 4981833654 Enrollment ID: O20140130000127

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. Ericka Marie 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 Address	Practice Location Address
Ericka Marie Distefano, FNP, ACUPUNCTURIST 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 346-9275	Ericka Marie Distefano, FNP, ACUPUNCTURIST 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 346-9275

Reviews and Comments

Nurse Practitioner Nurses in Gwinn, MI

Ms. Sandra Croasdell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 190-634-6492 Fax: 906-346-6474
Mrs. Autumn M Trudeau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 West M-35, Gwinn, MI 49841 Phone: 906-372-4002 Fax: 906-372-4012
Teri Reevs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-372-3230
Ashley E Croasdell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 906-346-4924 Fax: 906-372-3230
Shayna M Orlich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-346-5616
Mrs. Melissa Kristine Hinkhouse, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-346-6474

Ericka Marie Distefano, FNP, ACUPUNCTURIST - Medicare Nurse Practitioner in Gwinn, MI