Kristen Dibernardo, DPT in Morro Bay, CA - Medicare Physical Therapist Provider

Kristen Dibernardo, DPT is a medicare enrolled "Physical Therapist" provider in Morro Bay, California. Her current practice location is 890 Shasta Ave, Morro Bay, California. You can reach out to her office (for appointments etc.) via phone at (805) 772-4325.

Kristen Dibernardo is licensed to practice in California (license number 304040) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700576865.

Contact Information

	Kristen Dibernardo, DPT
	890 Shasta Ave, Morro Bay, CA 93442-1933
	(805) 772-4325
	(805) 772-2886

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Dibernardo
Gender	Female
Speciality	Physical Therapist
Location	890 Shasta Ave, Morro Bay, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700576865
Provider Enumeration Date: 05/11/2023
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 6305203209
Enrollment ID: I20230608001225

Medical Identifiers

Medical identifiers for Kristen Dibernardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700576865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	27531 (Massachusetts)	Secondary
225100000X	Physical Therapist	304040 (California)	Primary

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. Kristen Dibernardo allows following entities to bill medicare on her behalf.

Provider Name	Schopp Physical Therapy, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295367134 PECOS PAC ID: 8820427941 Enrollment ID: O20200410000169

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. Kristen Dibernardo 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
Kristen Dibernardo, DPT 3018 Deluna Dr, Rancho Palos Verdes, CA 90275-6303 Ph: (310) 606-1715	Kristen Dibernardo, DPT 890 Shasta Ave, Morro Bay, CA 93442-1933 Ph: (805) 772-4325

Reviews and Comments

Physical Therapist in Morro Bay, CA

Marissa Marie Cotroneo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886
Stephen Kerr, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358
Lois Boulgarides, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358
Michael James Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886
Halie Gordon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358
Eric Balash, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886
Dr. Alec Shahen Andoyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358

Kristen Dibernardo, DPT - Medicare Physical Therapist in Morro Bay, CA