Dr Michael A Dibartolo, DO | |
950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | |
(907) 352-2880 | |
(907) 352-2885 |
Full Name | Dr Michael A Dibartolo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 950 E Bogard Rd Ste 103, Wasilla, Alaska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316999808 | NPI | - | NPPES |
MD1623 | Medicaid | AK | |
MDG798 | Other | AK | MEDICAID GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6440 (Alaska) | Secondary |
207Q00000X | Family Medicine | OP60496207 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mat-su Regional Medical Center | Palmer, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mat-su Valley Iii Llc | 5496941502 | 31 |
Mat Su Valley Medical Center Llc | 5698686475 | 21 |
Entity Name | Mat Su Valley Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912950148 PECOS PAC ID: 5698686475 Enrollment ID: O20040123000583 |
Entity Name | Mat-su Valley Iii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366752560 PECOS PAC ID: 5496941502 Enrollment ID: O20101130001385 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael A Dibartolo, DO 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 Ph: (907) 352-2880 | Dr Michael A Dibartolo, DO 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 Ph: (907) 352-2880 |
Dr. Martha Jane Moore, MD-MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 3223 E Palmer Wasilla Hwy Ste 4, Wasilla, AK 99654 Phone: 907-631-6300 Fax: 907-631-6314 | |
Dr. Robert Neubauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 Bogard Rd Ste 233, Wasilla, AK 99654 Phone: 907-352-2880 Fax: 907-352-2999 | |
Christopher James Sahlstrom, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4961 E Mayflower Ln, Wasilla, AK 99654 Phone: 907-357-3496 | |
Nathan Neves George, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 E Bogard Rd Ste 228, Wasilla, AK 99654 Phone: 907-376-8938 | |
Dr. Kristel Wyn Rush, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654 Phone: 907-376-2411 Fax: 907-352-3301 | |
Rebecca Sc White, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2851 E Palmer Wasilla Hwy Ste 3, Wasilla, AK 99654 Phone: 907-357-7944 Fax: 907-357-7991 | |
Moriah Alyn Hediger, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5000 E Shennum Dr, Wasilla, AK 99654 Phone: 907-373-3420 Fax: 907-376-7847 |