Ms Sheree Lynn Dibiase, PT | |
8238 N Government Way, Hayden, ID 83835-5034 | |
(208) 762-2100 | |
(208) 762-2101 |
Full Name | Ms Sheree Lynn Dibiase |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 40 Years |
Location | 8238 N Government Way, Hayden, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396813309 | NPI | - | NPPES |
002734700 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT-629 (Idaho) | Secondary |
225100000X | Physical Therapist | PT-629 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake City Physical Therapy P A | 3678465234 | 14 |
Lake City Physical Therapy P A | 3678465234 | 14 |
Provider Name | Lake City Physical Therapy P A |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952521411 PECOS PAC ID: 3678465234 Enrollment ID: O20040503001343 |
Mailing Address | Practice Location Address |
---|---|
Ms Sheree Lynn Dibiase, PT 8238 N Government Way, Hayden, ID 83835-5034 Ph: (208) 762-2100 | Ms Sheree Lynn Dibiase, PT 8238 N Government Way, Hayden, ID 83835-5034 Ph: (208) 762-2100 |
Laura Handyside Steininger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8382 N Wayne Dr Ste 204, Hayden, ID 83835 Phone: 208-719-9071 Fax: 208-719-9073 | |
Autumn Grove, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8238 N Government Way, Hayden, ID 83835 Phone: 208-762-2100 Fax: 208-762-2101 | |
Erica Lea Chvilicek, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8257 N Cornerstone Dr, Hayden, ID 83835 Phone: 208-762-0881 | |
Jeremy Albert Dye, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-773-8111 Fax: 208-773-8385 | |
Teri Ann Venera, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8382 N Wayne Dr, Hayden, ID 83835 Phone: 208-758-0484 Fax: 208-485-4781 | |
Adam Michael Borg, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-3332 Fax: 208-762-4268 | |
Justin Thomas Kane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-3332 Fax: 208-762-4268 |