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

  1. Home
  2. Family Medicine
  3. CT
  4. Stamford
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, 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 NameDr Jack V Diteodoro
GenderMale
SpecialityFamily Practice
Experience37 Years
Location90 Morgan St, Stamford, Connecticut
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 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.
IdentifierTypeStateIssuer
1346338837NPI-NPPES
001355587MedicaidCT
1700194636OtherCTNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 035558 (Connecticut)Secondary
207Q00000XFamily Medicine 035558 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Constellation HospiceOrange, CTHospice
Vitas Healthcare CorporationMiddlebury, CTHospice
Visiting Nurse & Hospice Of Fairfield County, IncNorwalk, CTHospice
Compassus - Greater ConnecticutOrange, CTHospice
Stamford HospitalStamford, CTHospital
Griffin HospitalDerby, CTHospital
Greenwich Hospital Association -Greenwich, CTHospital
Autumn Lake Healthcare At NorwalkNorwalk, CTNursing home
Waveny Care CenterNew canaan, CTNursing home
Ark Healthcare & Rehabilitation At St. CamillusStamford, CTNursing home
Villa At Stamford, TheStamford, CTNursing home
Witherell, NathanielGreenwich, CTNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jack V. Diteodoro M.d,llc87292470773
Jack V. Diteodoro M.d,llc87292470773

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 NameJack V. Diteodoro M.d,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
Ann Mantua Asunto, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22 5th St, Stamford, CT 06905
Phone: 203-323-8160    

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.