Richard David Dibacco (NPI# 1609849934, PAC ID# 5890977417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1609849934 |
| PAC ID by PECOS | 5890977417 |
| Professional Enrollment ID | I20110303000152 |
| Full Name | Richard David Dibacco |
| Address |
4402 Peach St Erie PA 16509-1358 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390113 | MEADVILLE MEDICAL CENTER |
| 390146 | WARREN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4402 Peach St, Erie, PA 16509-1358 |
| Street Address |
4402 PEACH ST |
| City | ERIE |
| State | PA |
| Zip | 16509-1358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David T Urban | Clinical Social Worker | 4402 Peach St, Suite 6, Erie, PA 16509-1358 | |
| Tara S Durkin | Clinical Social Worker | 4402 Peach St, Suite 6, Erie, PA 16509-1358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Baker | Family Medicine | Medical Associates of Erie | 2000 W Grandview Blvd, Erie, PA 16509-1029 |
| Dean P Bull | Chiropractic | 1616 W Grandview Blvd, Erie, PA 16509-1191 | |
| Jennifer Puello | Physical Therapy | Mrs Physical Therapy | 4538 Peach St, Erie, PA 16509-1364 |
| Gerald D Garcia | Plastic and Reconstructive Surgery | 4355 Peach St, Erie, PA 16509-1442 | |
| Bridget N Minnick | Occupational Therapy | 4202 Peach St, Erie, PA 16509-1458 | |
| Alyssa Ann Beer | Clinical Social Worker | 17 Merline Ave, Erie, PA 16509-1567 | |
| Daniel J Olson | Podiatry | Bay City Associates In Podiatry Inc | 3850 Walker Blvd, Erie, PA 16509-1627 |
| John A Lupo | Chiropractic | 3901 Liberty St, Erie, PA 16509-1689 | |
| Danielle T Sanders | Family Medicine | 3901 Liberty St, Erie, PA 16509-1689 | |
| Tawsufe Majid | Obstetrics/gynecology | University of Pittsburgh Physicians | 5035 Peach St, Erie, PA 16509-2013 |
| Find all physicians in zip 16509 | |||
| City | ERIE |
| Zip Code | 16509 |
| Specialty | PODIATRY |
| City + Specialty | ERIE + PODIATRY |
Please comment or provide details below to improve the information on Richard David Dibacco.
| 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.