Michael Raymond Dibenedetto, MD
Michael Raymond Dibenedetto, MD is an Orthopedic Surgery in Ponderay, Idaho. Graduated from Ohio State University College of Medicine in 1985, 41 years ago. Practices with Michael R Dibenedetto MD PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 41
- Trained at
- Ohio State University College of Medicine
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
30544 Highway 200 Ste 102Ponderay, ID 83852-5005
Phone: (208) 265-9817
Fax: (208) 265-4533
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence M8578 (ID) |
|---|
Record details
| NPI number | 1679644397 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 13, 2006 |
| Last updated in NPPES | April 3, 2013 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 1985 (41 years in practice) |
| Group practice | Michael R Dibenedetto Md Pllc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Ponderay
-
Michael R Dibenedetto MD PLLC
30544 Hwy 200 Ste 102, Ponderay, ID 83852 · (208) 265-9836