Michael Raymond Dibenedetto, MD is a medicare enrolled "Orthopaedic Surgery" physician in Ponderay, Idaho. His current practice location is
30544 Highway 200, Ste 102, Ponderay, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 265-9817.
Michael Raymond Dibenedetto is licensed to practice in Idaho (license number M8578) 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 1679644397.
Physician's Profile
| Full Name | Michael Raymond Dibenedetto |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 30544 Highway 200, Ponderay, Idaho |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Michael Raymond Dibenedetto attended and graduated from in
NPI Data:
- NPI Number: 1679644397
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 04/03/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michael Raymond Dibenedetto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679644397 | NPI | - | NPPES |
| 77010 | Other | ID | BLUE CROSS |
| 806452000 | Medicaid | ID | |
| P00042698 | Other | ID | PALMETTOGBA RAILROAD MEDI |
| 000010140056 | Other | ID | REGENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | M8578 (Idaho) | 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. Michael Raymond Dibenedetto 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 |
|---|
Michael Raymond Dibenedetto, MD
30544 Highway 200, Ste 102,
Ponderay, ID 83852-5005
Ph: (208) 265-9817 | Michael Raymond Dibenedetto, MD
30544 Highway 200, Ste 102,
Ponderay, ID 83852-5005
Ph: (208) 265-9817 |
Reviews and Comments