Jason Distefano, DPT in Northport, NY - Medicare Physical Therapist Provider

Jason Distefano, DPT is a medicare enrolled "Physical Therapist" provider in Northport, New York. His current practice location is 389 Fort Salonga Rd, Northport, New York. You can reach out to his office (for appointments etc.) via phone at (631) 261-0444.

Jason Distefano is licensed to practice in New York (license number 050122) 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 1609583145.

Contact Information

	Jason Distefano, DPT
	389 Fort Salonga Rd, Northport, NY 11768-3089
	(631) 261-0444
	(631) 261-3112

Map and Direction

Healthcare Provider's Profile

Full Name	Jason Distefano
Gender	Male
Speciality	Physical Therapist
Location	389 Fort Salonga Rd, Northport, 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: 1609583145
Provider Enumeration Date: 11/03/2022
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2860864899
Enrollment ID: I20230221000162

Medical Identifiers

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

Identifier	Type	State	Issuer
1609583145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	050122 (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. Jason Distefano allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396799409 PECOS PAC ID: 7012997638 Enrollment ID: O20040723000705

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. Jason 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
Jason Distefano, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: () -	Jason Distefano, DPT 389 Fort Salonga Rd, Northport, NY 11768-3089 Ph: (631) 261-0444

Reviews and Comments

Physical Therapist in Northport, NY

Christine Foster, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Woodhull Pl, Northport, NY 11768 Phone: 631-261-8606
Erin Mary Imbasciani, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Main St, Northport, NY 11768 Phone: 631-651-9623 Fax: 631-651-9421
Melissa Cuda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Middleville Rd, Northport, NY 11768 Phone: 631-235-5347
Ejm Prestige Enterprise, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 Eatons Neck Rd, Northport, NY 11768 Phone: 516-242-5799
Mr. Robert Joseph Znaniecki I, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400
Format Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Pocket Ct, Northport, NY 11768 Phone: 917-272-6375
Carlos Alberto Montero, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400

Jason Distefano, DPT - Medicare Physical Therapist in Northport, NY