Dr Howard Lee Distelman, MD is a medicare enrolled "Ophthalmology" physician in Guilford, Connecticut. He went to State University Of New York Downstate Medical Center and graduated in 1982 and has 42 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Shoreline Eye Associates Pc and his current practice location is
515 Boston St, Guilford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 453-3100.
Dr Howard Lee Distelman is licensed to practice in Connecticut (license number 028769) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649387770.
Physician's Profile
| Full Name | Dr Howard Lee Distelman |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 42 Years |
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| Location | 515 Boston St, Guilford, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Howard Lee Distelman attended and graduated from State University Of New York Downstate Medical Center in 1982
NPI Data:
- NPI Number: 1649387770
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 10/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 8820130776
- Enrollment ID: I20100115000286
Medical Identifiers
Medical identifiers for Dr Howard Lee Distelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649387770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 028769 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shoreline Eye Associates Pc | 8729120670 | 2 |
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. Dr Howard Lee Distelman allows following entities to bill medicare on his behalf.
| Entity Name | Shoreline Eye Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891900106
PECOS PAC ID: 8729120670
Enrollment ID: O20100115000299 |
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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. Dr Howard Lee Distelman 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 |
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Dr Howard Lee Distelman, MD
515 Boston St,
Guilford, CT 06437-2960
Ph: (203) 453-3100 | Dr Howard Lee Distelman, MD
515 Boston St,
Guilford, CT 06437-2960
Ph: (203) 453-3100 |
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