William J Dibble, DO in Fayetteville, NY - Medicare Family Practice

William J Dibble, DO is a medicare enrolled "Family Medicine" physician in Fayetteville, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Josephs Medical Pc and his current practice location is 4000 Medical Center Dr., Suite 101 D/e, Fayetteville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 637-7878.

William J Dibble is licensed to practice in New York (license number 191174) 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 1356301774.

Contact Information

	William J Dibble, DO
	4000 Medical Center Dr., Suite 101 D/e, Fayetteville, NY 13066-6610
	(315) 637-7878
	(315) 637-7870

Map and Direction

Physician's Profile

Full Name	William J Dibble
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	4000 Medical Center Dr., Fayetteville, New York
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:

William J Dibble attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1991

NPI Data:

NPI Number: 1356301774
Provider Enumeration Date: 03/28/2006
Last Update Date: 05/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5799733184
Enrollment ID: I20050112000572

Medical Identifiers

Medical identifiers for William J Dibble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356301774	NPI	-	NPPES
01411527	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	191174 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nascentia Health At Home	Syracuse, NY	Home health agency
Kindred At Home (liverpool)	Liverpool, NY	Home health agency
Hcr / Hcr Home Care Chha (east Syracuse)	East syracuse, NY	Home health agency
Hospice Of Central New York	Liverpool, NY	Hospice
St Joseph's Hospital Health Center	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Josephs Medical Pc	4688855844	300

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. William J Dibble allows following entities to bill medicare on his behalf.

Entity Name	St Josephs Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744

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. William J 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
William J Dibble, DO 4000 Medical Center Dr, Suite 101 D/e, Fayetteville, NY 13066 Ph: (315) 637-7878	William J Dibble, DO 4000 Medical Center Dr., Suite 101 D/e, Fayetteville, NY 13066-6610 Ph: (315) 637-7878

Reviews and Comments

Family Medicine Doctors in Fayetteville, NY

Vijaya Seepana, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878
Dr. Linda Nancy Robinson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7107 Thorntree Hill Dr, Fayetteville, NY 13066 Phone: 315-637-1201
Mark William Guelzow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066 Phone: 315-637-7878
Deann Lynn Cummings, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4104 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123
Allan M Birnbaum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878 Fax: 315-637-7870
Roshan Ghimire, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-637-7878
Austin Tsai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123

William J Dibble, DO - Medicare Family Practice in Fayetteville, NY