Mr George Destefano, RN - Medicare Nurse Practitioner in Flagstaff, AZ

Mr George Destefano, RN is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Flagstaff, Arizona. His current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 779-3366.

Mr George Destefano is licensed to practice in Arizona (license number RN083316) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235386913.

Contact Information

Mr George Destefano, RN
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(928) 779-3366
Not Available

Map and Direction




Provider's Profile

Full NameMr George Destefano
GenderMale
SpecialityNurse Practitioner - Neonatal, Critical Care
Location1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235386913
  • Provider Enumeration Date: 08/25/2008
  • Last Update Date: 11/19/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4284750118
  • Enrollment ID: I20100928000977

Medical Identifiers

Medical identifiers for Mr George Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235386913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0005XNurse Practitioner - Neonatal, Critical Care RN083316 (Arizona)Primary

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. Mr George Destefano allows following entities to bill medicare on his behalf.
Entity NameFlagstaff Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780635078
PECOS PAC ID: 2769392554
Enrollment ID: O20031230000199
Entity NameVerde Valley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346291648
PECOS PAC ID: 7719898204
Enrollment ID: O20040202000833

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. Mr George 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 AddressPractice Location Address
Mr George Destefano, RN
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 779-3366
Mr George Destefano, RN
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 779-3366

Reviews and Comments


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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).

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