Dr Anthony Distefano, MD | |
116 E Center St, Suite 19, Manchester, CT 06040-5215 | |
(860) 643-2731 | |
(860) 643-6707 |
Full Name | Dr Anthony Distefano |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 37 Years |
Location | 116 E Center St, Manchester, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568430361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 032190 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Manchester Memorial Hospital | Manchester, CT | Hospital |
Hartford Hospital | Hartford, CT | Hospital |
Windham Community Memorial Hospital | Willimantic, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1180 |
Entity Name | Hartford Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Distefano, MD 116 E Center St, Suite 19, Manchester, CT 06040-5215 Ph: (860) 643-2731 | Dr Anthony Distefano, MD 116 E Center St, Suite 19, Manchester, CT 06040-5215 Ph: (860) 643-2731 |
Dr. David Jeremy Rosenberg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 116 E Center St, Suite 19, Manchester, CT 06040 Phone: 860-643-2731 | |
Dr. Thomas E Staley, MD Urology Medicare: Medicare Enrolled Practice Location: 116 E Center St, Suite 19, Manchester, CT 06040 Phone: 860-643-2731 Fax: 860-643-6707 | |
Dr. John James Griffith, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Tolland Tpke, Manchester, CT 06042 Phone: 860-643-2731 | |
Dr. Arthur E. Lamontagne Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 116 E Center St, Manchester, CT 06040 Phone: 860-643-2731 Fax: 860-643-6707 |