David Anthony Distefano, MD in Syracuse, NY - Medicare Orthopaedic Surgery

David Anthony Distefano, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Syracuse, New York. His current practice location is 5719 Widewaters Pkwy, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 251-3100.

David Anthony Distefano is licensed to practice in New York (license number 338689) 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 1083173082.

Contact Information

	David Anthony Distefano, MD
	5719 Widewaters Pkwy, Syracuse, NY 13214-1985
	(315) 251-3100
	(315) 449-9923

Map and Direction

Physician's Profile

Full Name	David Anthony Distefano
Gender	Male
Speciality	Orthopaedic Surgery - Sports Medicine
Location	5719 Widewaters Pkwy, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083173082
Provider Enumeration Date: 03/19/2019
Last Update Date: 08/16/2025

Medicare PECOS Information:

PECOS PAC ID: 3678993722
Enrollment ID: I20240805000695

Medical Identifiers

Medical identifiers for David Anthony Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083173082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0005X	Orthopaedic Surgery - Sports Medicine	338689 (New York)	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. David Anthony Distefano allows following entities to bill medicare on his behalf.

Entity Name	University Physicians Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375

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. David Anthony 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 Address	Practice Location Address
David Anthony Distefano, MD Po Box 580, Syracuse, NY 13214-0580 Ph: (315) 251-3140	David Anthony Distefano, MD 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 Ph: (315) 251-3100

Reviews and Comments

Orthopaedic Surgery Doctors in Syracuse, NY

Jalal Sadrieh, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4900 Broad Rd, Ste North3e, Syracuse, NY 13215 Phone: 315-492-5864 Fax: 315-492-5285
James Alan Lemley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923
Frederick R. Lemley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923
Justin Iorio, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100
Cassandra Riggs, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100
Dr. Brad Raphael, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923

David Anthony Distefano, MD - Medicare Orthopaedic Surgery in Syracuse, NY