Marissa Destefano, PA-C
NPI 1750103479ActiveIndividual· Physician Assistant, Surgical· Wilmington, DE
Physician Assistant, Surgical (PA-C) with Kennedy Medical Group Practice, P.C., practicing in Wilmington, Delaware. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Eclipse Technology Solutions Inc. was the largest of 2 companies reporting payments in 2025, $40.30 in all, mostly food and beverage. Lists Jefferson Stratford Hospital as a hospital affiliation.
Overview
| NPI | 1750103479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 25, 2024 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 25MP00947700 | NJ |
| Physician Assistant | 363A00000X | C5-0012164 | DE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (DE); Practitioner - Physician Assistant (NJ) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Kennedy Medical Group Practice, P.C.Stratford, NJ · 418 clinicians
Hospital affiliation
- Jefferson Stratford HospitalStratford, NJ
Industry payments (Open Payments)
- 2025$40.30 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Eclipse Technology Solutions Inc. | $25.35 | 1 |
| Vertex Pharmaceuticals Incorporated | $14.95 | 1 |
What the 2025 payments were for
- Food and Beverage$40.30 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other surgical physician assistants in Wilmington
- 1356543565
- 1023088333
- 1063694040
- 1083733281
- 1376794057
- 1720492754
- 1417078908
- 1659597870
- 1922109206
- 1215054630
- 1124545488
- 1124570171
All 16 surgical physician assistants in Wilmington · All surgical physician assistants in Delaware