Dr Jack V Diteodoro, MD in Stamford, CT - Medicare Family Practice

Dr Jack V Diteodoro, MD is a medicare enrolled "Family Medicine" physician in Stamford, Connecticut. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Jack V. Diteodoro M.d,llc and his current practice location is 90 Morgan St, Sutie # 303, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 323-6873.

Dr Jack V Diteodoro is licensed to practice in Connecticut (license number 035558) 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 1346338837.

Contact Information

	Dr Jack V Diteodoro, MD
	90 Morgan St, Sutie # 303, Stamford, CT 06905-5466
	(203) 323-6873
	(203) 358-9775

Map and Direction

Physician's Profile

Full Name	Dr Jack V Diteodoro
Gender	Male
Speciality	Family Practice
Experience	37 Years
Location	90 Morgan St, Stamford, 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.

Medical Education and Training:

Dr Jack V Diteodoro graduated from medical school in 1987

NPI Data:

NPI Number: 1346338837
Provider Enumeration Date: 10/10/2006
Last Update Date: 10/03/2010

Medicare PECOS Information:

PECOS PAC ID: 1355500604
Enrollment ID: I20120307000038

Medical Identifiers

Medical identifiers for Dr Jack V Diteodoro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346338837	NPI	-	NPPES
001355587	Medicaid	CT
1700194636	Other	CT	NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	035558 (Connecticut)	Secondary
207Q00000X	Family Medicine	035558 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Constellation Hospice	Orange, CT	Hospice
Visiting Nurse & Hospice Of Fairfield County, Inc	Norwalk, CT	Hospice
Vitas Healthcare Corporation	Middlebury, CT	Hospice
Stamford Hospital	Stamford, CT	Hospital
Griffin Hospital	Derby, CT	Hospital
Greenwich Hospital Association -	Greenwich, CT	Hospital
Autumn Lake Healthcare At Norwalk	Norwalk, CT	Nursing home
Waveny Care Center	New canaan, CT	Nursing home
Villa At Stamford, The	Stamford, CT	Nursing home
Witherell, Nathaniel	Greenwich, CT	Nursing home
Ark Healthcare & Rehabilitation At St. Camillus	Stamford, CT	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jack V. Diteodoro M.d,llc	8729247077	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 Jack V Diteodoro allows following entities to bill medicare on his behalf.

Entity Name	Jack V. Diteodoro M.d,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700194636 PECOS PAC ID: 8729247077 Enrollment ID: O20120307000020

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 Jack V Diteodoro 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
Dr Jack V Diteodoro, MD 90 Morgan St, Sutie # 303, Stamford, CT 06905-5466 Ph: (203) 323-6873	Dr Jack V Diteodoro, MD 90 Morgan St, Sutie # 303, Stamford, CT 06905-5466 Ph: (203) 323-6873

Reviews and Comments

Family Medicine Doctors in Stamford, CT

Rodrigo Acosta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 32 Strawberry Hill Ct, Suite 41096, Stamford, CT 06902 Phone: 203-977-2566 Fax: 203-977-2568
Debra Susan Gramlich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1180 Newfield Ave, Stamford, CT 06905 Phone: 314-888-5233
Dr. Walter Michael Kobialka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1275 Summer St Ste 102, Stamford, CT 06905 Phone: 203-325-0764 Fax: 203-325-0865
Lindsay Meyer, FNP- BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Buxton Farm Rd, Stamford, CT 06905 Phone: 203-322-3221
Dr. Efraim Gomez Zapata, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 60 Strawberry Hill Ave Ste L1, Stamford, CT 06902 Phone: 203-327-1288 Fax: 203-327-1025
Dr. Shanthi Devaraj, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Bedford St, Stamford, CT 06905 Phone: 203-323-8700 Fax: 203-323-1785
Elaine Bilbily Schenk, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1180 Newfield Ave, Stamford, CT 06905 Phone: 314-780-7636

Dr Jack V Diteodoro, MD - Medicare Family Practice in Stamford, CT