Mr Leo Joseph Distefano Iii, MD - Pediatrics in West Hartford, CT

Mr Leo Joseph Distefano Iii, MD is a Pediatrics - Adolescent Medicine physician based in West Hartford, Connecticut. Mr Leo Joseph Distefano Iii is licensed to practice in Connecticut (license number 033656) and his current practice location is 970 Farmington Avenue, Suite 201, West Hartford, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 561-4300.

NPI number for Mr Leo Joseph Distefano Iii is 1760453724 and his current mailing address is 970 Farmington Avenue, Suite 201, West Hartford, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760453724.

Contact Information

Mr Leo Joseph Distefano Iii, MD
970 Farmington Avenue, Suite 201,
West Hartford, CT 06107
(860) 561-4300
(860) 561-1635



Physician's Profile

Full NameMr Leo Joseph Distefano Iii
GenderMale
SpecialityPediatrics - Adolescent Medicine
Location970 Farmington Avenue, West Hartford, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760453724
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Leo Joseph Distefano Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760453724NPI-NPPES
735010OtherCTCONNECTICARE
00133656100MedicaidCT
01003365CT01OtherCTANTHEM BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 033656 (Connecticut)Primary

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. Mr Leo Joseph Distefano Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Leo Joseph Distefano Iii, MD
970 Farmington Avenue, Suite 201,
West Hartford, CT 06107

Ph: (860) 561-4300
Mr Leo Joseph Distefano Iii, MD
970 Farmington Avenue, Suite 201,
West Hartford, CT 06107

Ph: (860) 561-4300

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Pediatrics Doctors in West Hartford, CT

Dr. Susan Owen Perks, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 345 N Main St Ste 248, West Hartford, CT 06117
Phone: 860-231-8345    Fax: 860-523-4061
Dr. Jennifer S Wilner, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 785 Farmington Ave, West Hartford, CT 06119
Phone: 860-523-4100    Fax: 860-523-1462
Dr. Allyson N Duffy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 345 North Main St, Ste 248, West Hartford, CT 06117
Phone: 860-231-8453    Fax: 860-523-4061
Dr. Tilak C Gooneratne, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 345 N Main St, Ste 248, West Hartford, CT 06117
Phone: 860-231-8453    Fax: 860-523-4061
Yanet Ravelo,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1216 Farmington Ave Ste 202, West Hartford, CT 06107
Phone: 860-236-0331    
Dr. Nima G Patel, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 81 S Main St, #5, West Hartford, CT 06107
Phone: 860-521-4044    
Thomas Newman Fromson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 785 Farmington Ave, West Hartford, CT 06119
Phone: 860-523-4100    Fax: 860-523-0086

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