Diedre A Dibal, APRN CNM is a
Midwife based in Kansas City, Missouri. Diedre A Dibal is licensed to practice in Missouri (license number 073951) and her current practice location is
825 Euclid Avenue, Kansas City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 474-4970.
NPI number for Diedre A Dibal is 1720107337 and her current mailing address is 825 Euclid Ave, Kansas City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720107337.
Provider's Profile
| Full Name | Diedre A Dibal |
|---|
| Gender | Female |
|---|
| Speciality | Midwife |
|---|
| Location | 825 Euclid Avenue, Kansas City, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720107337
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 12/02/2011
Medical Identifiers
Medical identifiers for Diedre A Dibal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720107337 | NPI | - | NPPES |
| 100253000E | Medicaid | KS | |
| 257897009 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 1339651031 (Kansas) | Secondary |
| 163W00000X | Registered Nurse | 073851 (Missouri) | Secondary |
| 163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 74337 (Kansas) | Secondary |
| 176B00000X | Midwife | 64043 (Kansas) | Secondary |
| 176B00000X | Midwife | 073951 (Missouri) | 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. Diedre A Dibal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diedre A Dibal, APRN CNM
825 Euclid Ave,
Kansas City, MO 64124-2323
Ph: (816) 474-4920 | Diedre A Dibal, APRN CNM
825 Euclid Avenue,
Kansas City, MO 64124-2323
Ph: (816) 474-4970 |
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