Carmen Nicholas Dibenedetto, CRNA | |
275 Hospital Dr, Ukiah, CA 95482-4531 | |
(707) 463-7516 | |
Not Available |
Full Name | Carmen Nicholas Dibenedetto |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 275 Hospital Dr, Ukiah, California |
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 |
---|---|---|---|
1396407623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 563009 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sierra View Medical Center | Porterville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Regional Anesthesia Associates Inc | 3870964323 | 85 |
Entity Name | Willits Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
Entity Name | Mountain Communities Healthcare District |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1750462271 PECOS PAC ID: 9133227135 Enrollment ID: O20070613000851 |
Entity Name | Mountain Communities Healthcare District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407027568 PECOS PAC ID: 9133227135 Enrollment ID: O20160208000679 |
Entity Name | Advanced Anesthesia Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720543762 PECOS PAC ID: 4880936145 Enrollment ID: O20190507001500 |
Entity Name | Anesthesia Management Services Of California Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003458704 PECOS PAC ID: 0840626040 Enrollment ID: O20200206002375 |
Entity Name | Valley Regional Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
Mailing Address | Practice Location Address |
---|---|
Carmen Nicholas Dibenedetto, CRNA 1060 Via Escondida, Novato, CA 94949-5932 Ph: (415) 300-7580 | Carmen Nicholas Dibenedetto, CRNA 275 Hospital Dr, Ukiah, CA 95482-4531 Ph: (707) 463-7516 |
Samuel J Thibodeaux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 271 Observatory Ave, Ukiah, CA 95482 Phone: 707-462-0681 |