Michael Dibernardo Therapy Solutions Llc | |
801 Rue Saint Francois St Ste D Florissant MO 63031-4948 | |
(314) 219-8883 | |
Not Available |
Full Name | Michael Dibernardo Therapy Solutions Llc |
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Speciality | Clinic/Center |
Location | 801 Rue Saint Francois St Ste D, Florissant, Missouri |
Authorized Official Name and Position | Michael Dibernardo (SOLE OWNER) |
Authorized Official Contact | 3142198883 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael Dibernardo Therapy Solutions Llc 1480 Saint Catherine St Florissant MO 63033-3410 Ph: (425) 791-2550 | Michael Dibernardo Therapy Solutions Llc 801 Rue Saint Francois St Ste D Florissant MO 63031-4948 Ph: (314) 219-8883 |
NPI Number | 1558912246 |
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Provider Enumeration Date | 09/24/2019 |
Last Update Date | 09/24/2019 |
Medicare PECOS PAC ID | 7315279155 |
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Medicare Enrollment ID | O20191029001751 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558912246 | NPI | - | NPPES |
490042224 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Michael J Dibernardo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568814044 PECOS PAC ID: 7416282561 Enrollment ID: I20190711000526 |
Kim Lee Mcdonald, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4585 Washington St, Suite C4, Florissant, MO 63033 Phone: 314-838-8839 Fax: 314-838-4291 | |
Chambers Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Dunn Rd, Suite 204, Florissant, MO 63033 Phone: 314-831-2600 Fax: 314-831-5393 | |
Chandra S. Kaup,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite 2006, Florissant, MO 63031 Phone: 314-830-5233 Fax: 314-830-5225 | |