Dr James Guido Distefano Jr, MD - Medicare Orthopedic Surgery in Alameda, CA

Dr James Guido Distefano Jr, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Alameda, California. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Alameda Health System and his current practice location is 947 Marina Village Pkwy, Alameda, California. You can reach out to his office (for appointments etc.) via phone at (510) 522-6637.

Dr James Guido Distefano Jr is licensed to practice in California (license number A103423) 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 1942513882.

Contact Information

Dr James Guido Distefano Jr, MD
947 Marina Village Pkwy,
Alameda, CA 94501-1048
(510) 522-6637
Not Available

Map and Direction




Physician's Profile

Full NameDr James Guido Distefano Jr
GenderMale
SpecialityOrthopedic Surgery
Experience18 Years
Location947 Marina Village Pkwy, Alameda, California
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 James Guido Distefano Jr graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1942513882
  • Provider Enumeration Date: 07/21/2010
  • Last Update Date: 08/28/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6800066648
  • Enrollment ID: I20130107000163

Medical Identifiers

Medical identifiers for Dr James Guido Distefano Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942513882NPI-NPPES
1427081165MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine A103423 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Highland HospitalOakland, CAHospital
Alameda HospitalAlameda, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alameda Health System3779494521504

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 James Guido Distefano Jr allows following entities to bill medicare on his behalf.
Entity NameAlameda Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740332931
PECOS PAC ID: 3779494521
Enrollment ID: O20031110000764

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 James Guido Distefano Jr 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 James Guido Distefano Jr, MD
947 Marina Village Pkwy,
Alameda, CA 94501-1048

Ph: (510) 522-6637
Dr James Guido Distefano Jr, MD
947 Marina Village Pkwy,
Alameda, CA 94501-1048

Ph: (510) 522-6637

Reviews and Comments


Orthopaedic Surgery Doctors in Alameda, CA

Dr. Richard A Nolan, M D
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Otis Dr, Suite B, Alameda, CA 94501
Phone: 510-265-2550    Fax: 510-220-0100
Dr. Fred Blackwell, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Otis Dr, Alameda, CA 94501
Phone: 510-748-0940    Fax: 510-748-0926
Dr. Nicholas Hassan Pirnia, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 947 Marina Village Pkwy, Alameda, CA 94501
Phone: 510-522-6637    Fax: 510-749-0975

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.