Dr Donald C Defabio, DC - Medicare Chiropractor in Berkeley Heights, NJ

Dr Donald C Defabio, DC is a medicare enrolled "Chiropractor - Sports Physician" provider in Berkeley Heights, New Jersey. He went to New York Chiropractic College and graduated in 1984 and has 40 years of diverse experience with area of expertise as Chiropractic. His current practice location is 308 Springfield Ave, Berkeley Heights, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 771-0220.

Dr Donald C Defabio is licensed to practice in New Jersey (license number ) 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 1538175716.

Contact Information

Dr Donald C Defabio, DC
308 Springfield Ave,
Berkeley Heights, NJ 07922-1278
(908) 771-0220
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Donald C Defabio
GenderMale
SpecialityChiropractic
Experience40 Years
Location308 Springfield Ave, Berkeley Heights, New Jersey
Accepts Medicare AssignmentsYes. 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 Donald C Defabio attended and graduated from New York Chiropractic College in 1984
  NPI Data:
  • NPI Number: 1538175716
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5496707762
  • Enrollment ID: I20050215000397

Medical Identifiers

Medical identifiers for Dr Donald C Defabio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538175716NPI-NPPES
P430270OtherNJOXFORD ID
512145OtherNJAETNA US HEALTHCARE ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NX0800XChiropractor - Orthopedic 38MC00282000 (New Jersey)Primary
111NX0800XChiropractor - Orthopedic X3901 (New York)Primary
111NS0005XChiropractor - Sports Physician (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. Dr Donald C Defabio allows following entities to bill medicare on his behalf.
Provider NameDefabio Spine And Sports Rehab Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851675086
PECOS PAC ID: 2860622131
Enrollment ID: O20140306000662

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 Donald C Defabio 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
Dr Donald C Defabio, DC
308 Springfield Ave,
Berkeley Heights, NJ 07922-1278

Ph: (908) 771-0220
Dr Donald C Defabio, DC
308 Springfield Ave,
Berkeley Heights, NJ 07922-1278

Ph: (908) 771-0220

Reviews and Comments


Chiropractor in Berkeley Heights, NJ

Peak Medical, Llc
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Practice Location: 492 Springfield Ave, Suite A, Berkeley Heights, NJ 07922
Phone: 908-665-0770    Fax: 908-665-0006
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Stallone Chiropractic Center Llc
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Phone: 908-665-8000    Fax: 908-665-4090
Mark A Carlucci Dc Llc
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Practice Location: 438 Springfield Ave, Berkeley Heights, NJ 07922
Phone: 908-464-0111    
Patrick Rafferty Smith, DC
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Medicare: May Accept Medicare Assignments
Practice Location: 261 Springfield Ave Ste 202, Berkeley Heights, NJ 07922
Phone: 908-464-8899    Fax: 908-464-0199
Peak Medical Llc
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Medicare: Medicare Enrolled
Practice Location: 492 Springfield Ave, Berkeley Heights, NJ 07922
Phone: 908-665-0770    

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.