Thomas R Defanti, MD - Medicare Family Medicine in North Stonington, CT

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Thomas R Defanti, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in North Stonington, Connecticut. His current practice location is 75 Swantown Hl, North Stonington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 535-1010.

Thomas R Defanti is licensed to practice in Connecticut (license number 049233) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043239783.

Contact Information

Thomas R Defanti, MD
75 Swantown Hl,
North Stonington, CT 06359-1022
(860) 535-1010
(860) 445-3677

Map and Direction




Physician's Profile

Full NameThomas R Defanti
GenderMale
SpecialityFamily Medicine - Addiction Medicine
Location75 Swantown Hl, North Stonington, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043239783
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 04/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2668416512
  • Enrollment ID: I20210120002853

Medical Identifiers

Medical identifiers for Thomas R Defanti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043239783NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine 049233 (Connecticut)Primary
207QA0401XFamily Medicine - Addiction Medicine 011764 (Maine)Secondary

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. Thomas R Defanti allows following entities to bill medicare on his behalf.
Entity NameProspect Chartercare Sjhsri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588089759
PECOS PAC ID: 7315179314
Enrollment ID: O20140722001928
Entity NameProspect Chartercare Rwmc, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285059287
PECOS PAC ID: 0547492696
Enrollment ID: O20140728001672

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. Thomas R Defanti 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
Thomas R Defanti, MD
75 Swantown Hl,
North Stonington, CT 06359-1022

Ph: (860) 535-1010		Thomas R Defanti, MD
75 Swantown Hl,
North Stonington, CT 06359-1022

Ph: (860) 535-1010

Reviews and Comments


Family Medicine Doctors in North Stonington, CT

Dr. Stefana M Pecher, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 391 Norwich Westerly Rd, North Stonington, CT 06359
Phone: 860-535-4600    Fax: 860-535-4605
Dr. Leigh Rowan-kelly, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 75 Swantown Hill Rd, North Stonington, CT 06359
Phone: 860-445-3662    Fax: 860-709-9365

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.