Samuel Fisk Destefano, MD in Littleton, CO

Samuel Fisk Destefano, MD is a medicare enrolled "Psychiatry & Neurology - Epilepsy" physician in Littleton, Colorado. He went to University Of Arkansas College Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Portercare Adventist Health System and his current practice location is 7780 S Broadway Ste 350, Littleton, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 730-4400.

Samuel Fisk Destefano is licensed to practice in Colorado (license number CDRH.0058144) 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 1114260619.

Contact Information

	Samuel Fisk Destefano, MD
	7780 S Broadway Ste 350, Littleton, CO 80122-2641
	(303) 730-4400
	(303) 730-4401

Map and Direction

Physician's Profile

Full Name	Samuel Fisk Destefano
Gender	Male
Speciality	Neurology
Experience	13 Years
Location	7780 S Broadway Ste 350, Littleton, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Fisk Destefano attended and graduated from University Of Arkansas College Of Medicine in 2013

NPI Data:

NPI Number: 1114260619
Provider Enumeration Date: 04/03/2013
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5395988638
Enrollment ID: I20180831000218

Medical Identifiers

Medical identifiers for Samuel Fisk Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114260619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084E0001X	Psychiatry & Neurology - Epilepsy	CDRH.0058144 (Colorado)	Primary
2084N0400X	Psychiatry & Neurology - Neurology	0058144 (Colorado)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	036-176812 (Illinois)	Secondary
2084N0600X	Psychiatry & Neurology - Clinical Neurophysiology	DR.0058144 (Colorado)	Secondary
2084E0001X	Psychiatry & Neurology - Epilepsy	DR.0058144 (Colorado)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Portercare Adventist Health System	0941110886	682

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. Samuel Fisk Destefano allows following entities to bill medicare on his behalf.

Entity Name	Portercare Adventist Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327

Entity Name	Blue Sky Telehealth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649886458 PECOS PAC ID: 5395155964 Enrollment ID: O20211115001970

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. Samuel Fisk Destefano 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
Samuel Fisk Destefano, MD 7780 S Broadway Ste 350, Littleton, CO 80122-2641 Ph: (303) 730-4400	Samuel Fisk Destefano, MD 7780 S Broadway Ste 350, Littleton, CO 80122-2641 Ph: (303) 730-4400

Reviews and Comments

Psychiatry & Neurology Doctors in Littleton, CO

Malia Addison, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6507 S Santa Fe Dr, Littleton, CO 80120 Phone: 303-730-8858
Dr. Christina Peragine, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5984 S Prince St Ste 101, Littleton, CO 80120 Phone: 303-738-1021 Fax: 303-738-1047
Lindsey Dianne Rutledge, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8340 Sangre De Cristo Rd, Suite 209, Littleton, CO 80127 Phone: 720-589-0528
Katie Lauren Higgins, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4 W Dry Creek Cir Ste 150, Littleton, CO 80120 Phone: 404-408-5824
Dr. James Robert Digioia, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1510 W Canal Ct Ste 2500, Littleton, CO 80120 Phone: 303-338-4545
Dr. Rebecca Ruth Moore, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7780 S Broadway Ste 300, Littleton, CO 80122 Phone: 970-310-3406 Fax: 410-938-5131

Samuel Fisk Destefano, MD - Medicare Neurology in Littleton, CO