Michael Raymond Dibenedetto

M.D. | Orthopedic Surgery | 36+ years Exp


  
30544 Highway 200, Ste 102, Ponderay
Idaho, 83852-5005

 208-265-9817     208-265-4533Maps & Directions
Michael Raymond Dibenedetto is a Ponderay, Idaho based male orthopedic surgeon with 36 years of experience in Orthopedic Surgery. He completed his graduation from Ohio State University College Of Medicine in 1985. He is also affiliated with hospitals like Boundary Community Hospital and Bonner General Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Michael Raymond Dibenedetto is M8578 for Orthopedic Surgery in Idaho.
Michael Raymond Dibenedetto is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Michael Raymond Dibenedetto speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Orthopedic - Orthopedic Surgery
Credentials: M.D.
Experience: 36+ years
Medical School Attended:Ohio State University College Of Medicine
Graduation Year:1985
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:30544 Highway 200, Ste 102, Ponderay,
Idaho, 83852-5005
Phone:208-265-9817
Fax:208-265-4533

Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7113819525
Enrollment ID: I20040329001019
NPI Number: 1679644397
NPI Enumeration Date: 13 Nov, 2006
NPI Last Update On: 03 Apr, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Raymond Dibenedetto are as mentioned below.
License NumberSpecializationStateStatus
M8578Orthopedic Surgery IdahoPrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Boundary Community Hospital (131301)Bonners ferry, IDCritical Access Hospital
Bonner General Hospital (131328)Sandpoint, IDCritical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael Raymond Dibenedetto is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Boundary Community Hospital (3274583406)9
Michael R Dibenedetto Md Pllc (0840385670)8
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael Raymond Dibenedetto such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
77010OtherIdahoBLUE CROSS
806452000MedicaidIdaho
000010140056OtherIdahoREGENCE
P00042698OtherIdahoPALMETTOGBA RAILROAD MEDI
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 30544 Highway 200, Ste 102
Ponderay, Idaho
Zip: 83852-5005
Phone Number: 208-265-9817
Fax Number: 208-265-4533
Patients can reach Michael Raymond Dibenedetto at 30544 Highway 200, Ste 102, Ponderay, Idaho or can call to book an appointment on 208-265-9817. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 April, 2021.

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