Michael Raymond Dibenedetto, MD - Medicare Orthopedic Surgery in Ponderay, ID

Michael Raymond Dibenedetto, MD is a medicare enrolled "Orthopaedic Surgery" physician in Ponderay, Idaho. He went to Ohio State University College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Michael R Dibenedetto Md Pllc, Boundary Community Hospital and his current practice location is 30544 Highway 200, Ste 102, Ponderay, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 265-9817.

Michael Raymond Dibenedetto is licensed to practice in Idaho (license number M8578) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679644397.

Contact Information

Michael Raymond Dibenedetto, MD
30544 Highway 200, Ste 102,
Ponderay, ID 83852-5005
(208) 265-9817
(208) 265-4533



Physician's Profile

Full NameMichael Raymond Dibenedetto
GenderMale
SpecialityOrthopedic Surgery
Experience39 Years
Location30544 Highway 200, Ponderay, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Raymond Dibenedetto attended and graduated from Ohio State University College Of Medicine in 1985
  NPI Data:
  • NPI Number: 1679644397
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 04/03/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7113819525
  • Enrollment ID: I20040329001019

Medical Identifiers

Medical identifiers for Michael Raymond Dibenedetto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679644397NPI-NPPES
77010OtherIDBLUE CROSS
806452000MedicaidID
P00042698OtherIDPALMETTOGBA RAILROAD MEDI
000010140056OtherIDREGENCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery M8578 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boundary Community HospitalBonners ferry, IDHospital
Bonner General HospitalSandpoint, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Michael R Dibenedetto Md Pllc08403856707
Boundary Community Hospital327458340621

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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. Michael Raymond Dibenedetto allows following entities to bill medicare on his behalf.
Entity NameBoundary Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801896683
PECOS PAC ID: 3274583406
Enrollment ID: O20050126000312

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Entity NameMichael R Dibenedetto Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083809727
PECOS PAC ID: 0840385670
Enrollment ID: O20071009000187

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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. Michael Raymond Dibenedetto 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 AddressPractice Location Address
Michael Raymond Dibenedetto, MD
30544 Highway 200, Ste 102,
Ponderay, ID 83852-5005

Ph: (208) 265-9817
Michael Raymond Dibenedetto, MD
30544 Highway 200, Ste 102,
Ponderay, ID 83852-5005

Ph: (208) 265-9817

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Orthopaedic Surgery Doctors in Ponderay, ID

Michael David Schicker, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 30544 Highway 200 Ste 102, Ponderay, ID 83852
Phone: 208-265-9817    

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