Kelly Distefano, MD - Medicare Anesthesiology in Elmwood Park, NJ

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Kelly Distefano, MD is a medicare enrolled "Anesthesiology" physician in Elmwood Park, New Jersey. Her current practice location is 619 River Dr, Elmwood Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 703-2900.

Kelly Distefano is licensed to practice in New Jersey (license number MA08068600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679511000.

Contact Information

Kelly Distefano, MD
619 River Dr,
Elmwood Park, NJ 07407-1317
(201) 703-2900
Not Available

Map and Direction




Physician's Profile

Full NameKelly Distefano
GenderFemale
SpecialityAnesthesiology
Location619 River Dr, Elmwood Park, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679511000
  • Provider Enumeration Date: 06/04/2006
  • Last Update Date: 07/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8527063809
  • Enrollment ID: I20060919000545

Medical Identifiers

Medical identifiers for Kelly Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679511000NPI-NPPES
PENDINGMedicaidNJ
0114219MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology MA08068600 (New Jersey)Primary

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. Kelly Distefano allows following entities to bill medicare on her behalf.
Entity NameAmerican Anesthesiology Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386654036
PECOS PAC ID: 0042112500
Enrollment ID: O20040123001039
Entity NameAnesthesia Consultants Of Essex Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376577213
PECOS PAC ID: 3072508845
Enrollment ID: O20040420000338
Entity NameNorth American Partners In Anesthesia Of New Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548433048
PECOS PAC ID: 5890867410
Enrollment ID: O20080626000318
Entity NameJames Marc Schlesinger Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700265915
PECOS PAC ID: 7012218571
Enrollment ID: O20151229001144
Entity NameResolute Perioperative Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114686326
PECOS PAC ID: 9436546041
Enrollment ID: O20220429001373

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. Kelly Distefano 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 AddressPractice Location Address
Kelly Distefano, MD
Po Box 1849,
Lewiston, ME 04241-1849

Ph: (207) 784-2554		Kelly Distefano, MD
619 River Dr,
Elmwood Park, NJ 07407-1317

Ph: (201) 703-2900

Reviews and Comments


Anesthesiology Doctors in Elmwood Park, NJ

Dr. Kristappa Sangavaram, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 303 Molnar Drive, 1st Floor, Elmwood Park, NJ 07407
Phone: 201-796-4007    Fax: 201-796-4080
Dr. Ushir A Choksi, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 619 River Dr, Elmwood Park, NJ 07407
Phone: 800-738-1659    Fax: 704-871-2128
Dr. Jay Tendler, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 619 River Dr, Elmwood Park, NJ 07407
Phone: 800-738-1659    Fax: 704-871-2128
Dr. Leonid Lamper, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 619 River Dr, Elmwood Park, NJ 07407
Phone: 800-738-1659    Fax: 704-871-2128

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.