| Dr Anne C Dibala, MD | |
|
71 S Flannagan Avenue, Lebanon, VA 24266 | |
| (276) 883-8042 | |
| (276) 883-8044 |
| Full Name | Dr Anne C Dibala |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 71 S Flannagan Avenue, Lebanon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487614301 | NPI | - | NPPES |
| 405127 | Medicaid | SC | |
| 534147000 | Other | VA | MAGELLAN |
| 132145 | Medicaid | SC | |
| 1487614301 | Medicaid | VA | |
| 327877 | Medicaid | SC | |
| P01414635 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 13214 (South Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101047498 (Virginia) | Primary |
| Entity Name | Healing Waters Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124329388 PECOS PAC ID: 9931362399 Enrollment ID: O20120522001002 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anne C Dibala, MD 71 S Flannagan Avenue, Lebanon, VA 24266 Ph: (276) 883-8042 | Dr Anne C Dibala, MD 71 S Flannagan Avenue, Lebanon, VA 24266 Ph: (276) 883-8042 |
Amy Amanda Bryant, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 71 S Flannagan Ave, Lebanon, VA 24266 Phone: 276-883-8380 | |
Dr. Edgar Michael Kahn, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 71 S Flannagan Ave, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 | |
Mary Catherine Olmsted, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 71 S Flannagan Ave, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 | |
Alfredo Cervantes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 71 South Flannagan Ave, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 |