Kelly Distefano, MD in Elmwood Park, NJ

Kelly Distefano, MD is a medicare enrolled "Anesthesiology" physician in Elmwood Park, New Jersey. Her current practice location is 619 River Dr, Elmwood Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 703-2900.

Kelly Distefano is licensed to practice in New Jersey (license number MA08068600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679511000.

Contact Information

	Kelly Distefano, MD
	619 River Dr, Elmwood Park, NJ 07407-1317
	(201) 703-2900
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Distefano
Gender	Female
Speciality	Anesthesiology
Location	619 River Dr, Elmwood Park, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679511000
Provider Enumeration Date: 06/04/2006
Last Update Date: 07/24/2018

Medicare PECOS Information:

PECOS PAC ID: 8527063809
Enrollment ID: I20060919000545

Medical Identifiers

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

Identifier	Type	State	Issuer
1679511000	NPI	-	NPPES
PENDING	Medicaid	NJ
0114219	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	MA08068600 (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. Kelly Distefano allows following entities to bill medicare on her behalf.

Entity Name	North American Partners In Anesthesia Of New Jersey Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318

Entity Name	James Marc Schlesinger Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700265915 PECOS PAC ID: 7012218571 Enrollment ID: O20151229001144

Entity Name	Resolute Perioperative Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114686326 PECOS PAC ID: 9436546041 Enrollment ID: O20220429001373

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. Kelly 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
Kelly Distefano, MD Po Box 1849, Lewiston, ME 04241-1849 Ph: (207) 784-2554	Kelly Distefano, MD 619 River Dr, Elmwood Park, NJ 07407-1317 Ph: (201) 703-2900

Reviews and Comments

Anesthesiology Doctors in Elmwood Park, NJ

Dr. Kristappa Sangavaram, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 303 Molnar Drive, 1st Floor, Elmwood Park, NJ 07407 Phone: 201-796-4007 Fax: 201-796-4080
Dr. Ushir A Choksi, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 619 River Dr, Elmwood Park, NJ 07407 Phone: 800-738-1659 Fax: 704-871-2128
Dr. Jay Tendler, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 619 River Dr, Elmwood Park, NJ 07407 Phone: 800-738-1659 Fax: 704-871-2128
Dr. Leonid Lamper, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 619 River Dr, Elmwood Park, NJ 07407 Phone: 800-738-1659 Fax: 704-871-2128

Kelly Distefano, MD - Medicare Anesthesiology in Elmwood Park, NJ