Dr George Raja Dibu, MD is a medicare enrolled "Nuclear Medicine - Nuclear Cardiology" physician in Jacksonville Beach, Florida. He graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice St Vincent's Ambulatory Care Inc and his current practice location is
1361 13th Ave S Ste 270, Jacksonville Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 241-7147.
Dr George Raja Dibu is licensed to practice in Florida (license number ME132436) 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 1598992059.
Physician's Profile
| Full Name | Dr George Raja Dibu |
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| Gender | Male |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 17 Years |
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| Location | 1361 13th Ave S Ste 270, Jacksonville Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr George Raja Dibu graduated from medical school in 2008
NPI Data:
- NPI Number: 1598992059
- Provider Enumeration Date: 06/11/2009
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082854237
- Enrollment ID: I20181113001692
Medical Identifiers
Medical identifiers for Dr George Raja Dibu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598992059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | E7683 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | ME132436 (Florida) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | ME132436 (Florida) | Secondary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | ME132436 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Vincent's Ambulatory Care Inc | 2860411188 | 275 |
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 George Raja Dibu allows following entities to bill medicare on his behalf.
| Entity Name | St Vincent's Ambulatory Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430 |
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| Entity Name | Cardiology Interpreters Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477887149
PECOS PAC ID: 7911033220
Enrollment ID: O20100325000778 |
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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 George Raja Dibu 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 |
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Dr George Raja Dibu, MD
Po Box 746652,
Atlanta, GA 30374-6652
Ph: (904) 202-2092 | Dr George Raja Dibu, MD
1361 13th Ave S Ste 270,
Jacksonville Beach, FL 32250-3258
Ph: (904) 241-7147 |
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