| Anthony Thomas Dibenedetto, MD | |
|
15 Elizabeth Dr, Lockport, NY 14094-5226 | |
| (716) 434-9141 | |
| (716) 434-0594 |
| Full Name | Anthony Thomas Dibenedetto |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 45 Years |
| Location | 15 Elizabeth Dr, Lockport, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477505964 | NPI | - | NPPES |
| 01081910 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 149223 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wyoming County | 9335118967 | 31 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Wyoming County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407060759 PECOS PAC ID: 9335118967 Enrollment ID: O20040929001076 |
| Entity Name | Eastern Niagara Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063400539 PECOS PAC ID: 1254389620 Enrollment ID: O20050112000475 |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Thomas Dibenedetto, MD 15 Elizabeth Dr, Lockport, NY 14094-5226 Ph: (716) 434-9141 | Anthony Thomas Dibenedetto, MD 15 Elizabeth Dr, Lockport, NY 14094-5226 Ph: (716) 434-9141 |
Dr. Mohamed M Ibrahim, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 15 Elizabeth Dr, Lockport, NY 14094 Phone: 716-341-3983 Fax: 716-433-6388 | |
Dr. Robert Wayne Hodge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 East Ave, Lockport, NY 14094 Phone: 716-434-6141 Fax: 716-434-0594 | |
Dr. Manjushree Dey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 734 Davison Road, Lockport, NY 14094 Phone: 716-433-1977 Fax: 716-433-1978 | |
Lewis James Alrutz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 419 Willow St, Lockport, NY 14094 Phone: 716-433-8140 | |
Dr. Jeffrey John Schratz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 East Ave, Lockport, NY 14094 Phone: 716-434-6141 Fax: 716-434-0594 | |
Zachary E Stiles, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 Brockton Dr, Lockport, NY 14094 Phone: 716-845-3400 Fax: 716-438-1430 |