Keith Dibenedetto, CRNP | |
2617 Stockton Rd, Phoenix, MD 21131-1117 | |
(561) 632-9839 | |
Not Available |
Full Name | Keith Dibenedetto |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2617 Stockton Rd, Phoenix, Maryland |
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 |
---|---|---|---|
1699259580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | R210044 (Maryland) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | R210044 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maryland Family Care Inc | 5092629394 | 127 |
Entity Name | Maryland Family Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718256 PECOS PAC ID: 5092629394 Enrollment ID: O20031119000273 |
Mailing Address | Practice Location Address |
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Keith Dibenedetto, CRNP 2617 Stockton Rd, Phoenix, MD 21131-1117 Ph: (561) 632-9839 | Keith Dibenedetto, CRNP 2617 Stockton Rd, Phoenix, MD 21131-1117 Ph: (561) 632-9839 |
Margaret Smith Aeschliman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14237 Jarrettsville Pike, Phoenix, MD 21131 Phone: 410-650-4735 Fax: 410-650-4734 | |
Miss Jennifer Christina Ashley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3346 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-666-4060 Fax: 410-666-4068 | |
Mrs. Sherry Marie Pearson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14237 Jarrettsville Pike, Phoenix, MD 21131 Phone: 410-650-4734 | |
Laura Marie Cox, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3346 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-666-4060 |