Laurie A Dibble, MD in Petaluma, CA - Medicare Obstetrics & Gynecology

Laurie A Dibble, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Petaluma, California. Her current practice location is 3900 Lakeville Hwy, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 765-3900.

Laurie A Dibble is licensed to practice in California (license number G66324) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487738555.

Contact Information

	Laurie A Dibble, MD
	3900 Lakeville Hwy, Petaluma, CA 94954-5698
	(707) 765-3900
	Not Available

Map and Direction

Physician's Profile

Full Name	Laurie A Dibble
Gender	Female
Speciality	Obstetrics & Gynecology
Location	3900 Lakeville Hwy, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487738555
Provider Enumeration Date: 10/25/2006
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3870780984
Enrollment ID: I20101214001272

Medical Identifiers

Medical identifiers for Laurie A Dibble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487738555	NPI	-	NPPES
00G663240	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	G66324 (California)	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. Laurie A Dibble allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Laurie A Dibble 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
Laurie A Dibble, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Laurie A Dibble, MD 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: (707) 765-3900

Reviews and Comments

Obstetrics & Gynecology Doctors in Petaluma, CA

Fiona Redwood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7570
Dr. Julie D Clark, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1550 Professional Dr Ste A, Suite 100, Petaluma, CA 94954 Phone: 707-763-2900 Fax: 707-763-2990
Dr. Susan Michelle Taylor Peters, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3900 Lakeville Highway, Obstetrics And Gynecology, Petaluma, CA 94954 Phone: 707-765-3900
Dr. Anthony P. Kosinski, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1550a Professional Drive, Suite 100, Petaluma, CA 94954 Phone: 707-763-2900 Fax: 707-763-2990
Gamin Mary Thomason, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Kellie Corcoran, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900

Laurie A Dibble, MD - Medicare Obstetrics & Gynecology in Petaluma, CA