Christine M Dibenedetto (NPI# 1629345145, PAC ID# 5294999678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629345145 |
| PAC ID by PECOS | 5294999678 |
| Professional Enrollment ID | I20120614000730 |
| Full Name | Christine M Dibenedetto |
| Organization Legal Name | MILL CITY MEDICAL GROUP LTD |
| Address |
45 Palmer St Lowell MA 01852-1834 |
| Phone Number | 9789701607 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3577507797 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220063 | LOWELL GENERAL HOSPITAL |
| 220116 | TUFTS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 295 Varnum Ave, Lowell, MA 01854-2134 | 9789701607 | MILL CITY MEDICAL GROUP LTD |
| 45 Palmer St, Lowell, MA 01852-1834 | 9789701607 | MILL CITY MEDICAL GROUP LTD |
| Organization Legal Name | MILL CITY MEDICAL GROUP LTD |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Ames | Nurse Practitioner | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Bethany A Rich | Nurse Practitioner | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| David C Pickul | Internal Medicine | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Allison Phallime Huoth | Physician Assistant | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Pauline Tsirigotis | Internal Medicine | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Mariana Z.a. Chemaly | Internal Medicine | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Tarina M Mansur | Physician Assistant | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Matthew D Savory | Internal Medicine | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Mary Frances O'sullivan | Nurse Practitioner | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Luybang Trinh | Physician Assistant | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Street Address |
45 PALMER ST |
| City | LOWELL |
| State | MA |
| Zip | 01852-1834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Ames | Nurse Practitioner | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Bethany A Rich | Nurse Practitioner | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| David C Pickul | Internal Medicine | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Allison Phallime Huoth | Physician Assistant | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Pauline Tsirigotis | Internal Medicine | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Mariana Z.a. Chemaly | Internal Medicine | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Tarina M Mansur | Physician Assistant | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Matthew D Savory | Internal Medicine | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Mary Frances O'sullivan | Nurse Practitioner | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Luybang Trinh | Physician Assistant | Mill City Medical Group Ltd | 45 Palmer St, Lowell, MA 01852-1834 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George R Montminy | Optometry | 75 Arcand Dr, Lowell, MA 01852-1026 | |
| Allison Wehr | Psychiatry | Eliot Community Human Services, Inc. | 35 John St, Lowell, MA 01852-1101 |
| Mary Jo B Haggerty | Clinical Social Worker | 77 E Merrimack St, Lowell, MA 01852-1251 | |
| Phillip R Hill | Psychiatry | Hri Clinics, Inc. | 10 Bridge St, Lowell, MA 01852-1268 |
| Margaret M Delorme | Clinical Social Worker | Hri Clinics, Inc. | 10 Bridge St, Lowell, MA 01852-1268 |
| Edward Keohan Jr. | Clinical Social Worker | Hri Clinics, Inc. | 10 Bridge St, Lowell, MA 01852-1268 |
| Devon E Hinton | Psychiatry | Hri Clinics, Inc. | 10 Bridge St, Lowell, MA 01852-1268 |
| Juliet Wheeler | Clinical Social Worker | Hri Clinics, Inc. | 10 Bridge St, Lowell, MA 01852-1268 |
| Colette B Langlois | Clinical Social Worker | Hri Clinics, Inc. | 10 Bridge St, Lowell, MA 01852-1268 |
| Lemar Huot | Clinical Social Worker | Hri Clinics, Inc. | 10 Bridge St, Lowell, MA 01852-1268 |
| Find all physicians in zip 01852 | |||
| City | LOWELL |
| Zip Code | 01852 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LOWELL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Christine M Dibenedetto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.