Rachel Destefano
Individual provider Active NPI Otolaryngology/Facial Plastic Surgery Physician · Hollidaysburg, PA
NPI 1124531934 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1124531934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician 207YX0905X
- License
- OA004357 (PA)
- Practice address
- 800 S Logan Blvd Ste 3100
Suite 3100
Hollidaysburg, PA 16648-3050 - Phone
- (814) 889-4300
- NPI assigned
- Nov 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upmc Altoona Regional Health Services, Inc.
Practice addresses (Care Compare)
1400 9TH Ave
Altoona, PA 16602-2415
Phone (814) 941-8811
1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655
202 Memorial Dr
Suite 1
Everett, PA 15537-7057
Phone (814) 523-6400
800 S Logan Blvd
Hollidaysburg, PA 16648-3050
Hospital & facility affiliations
- Penn Highlands Huntingdon
- Upmc Altoona
- Conemaugh Nason Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.88 of 100
- Quality
- 62.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180122001780 | PA | Practitioner - Physician Assistant | 2769741693 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA004357 | PA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621
202 Memorial Dr
Ste 1
Everett, PA 15537
Phone (814) 523-6400
800 S Logan Blvd
Ste 3100
Hollidaysburg, PA 16648
Phone (814) 889-4300
9492 William Penn Hwy
Ste 3
Huntingdon, PA 16652
Interoperability endpoints
- rdestefano74806@upmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | OA004357 | PA | Yes |
Addresses
Primary practice location
800 S Logan Blvd Ste 3100
Suite 3100
Hollidaysburg, PA 16648-3050
Mailing address
404 Lodge LN
Suite 3100
Altoona, PA 16601-7241
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | UPMC |
Other providers in Hollidaysburg, PA
- Michael J Davies
- Valarie Davison
- Dennis G Ridenour D.C. PC
- Dentasl Care Associates, Inc.
- Dept of Military Affairs, Commonwealth of Pennsylvania
- Kelly J Dick
- Megan Michele Dietz
- Digital Mobile Imaging, LLC.
- Discovery Wellness Coaching, LLC
- Ross William Dixon II
All providers in Hollidaysburg, PA · Otolaryngology/Facial Plastic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.