| Dr Fredrick S Dibrell, MD | |
|
136 Wheelertown Avenue, Pikeville, TN 37367-5247 | |
| (423) 447-3524 | |
| (423) 447-3621 |
| Full Name | Dr Fredrick S Dibrell |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 136 Wheelertown Avenue, Pikeville, Tennessee |
| 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 |
|---|---|---|---|
| 1285654111 | NPI | - | NPPES |
| 134513001 | Medicaid | AR | |
| 1517996 | Medicaid | TN | |
| 5K789 | Other | AR | BLUE CROSS BLUE SHIELD |
| P0117339 | Other | AR | RAILROAD MEDICARE |
| 18437000000 | Other | AR | QUALCHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E1622 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | 45770 (Tennessee) | Primary |
| 208000000X | Pediatrics | 45770 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adoration Home Health And Hospice Care East Tn | Cleveland, TN | Home health agency |
| Amedisys Home Health Chattanooga | Chattanooga, TN | Home health agency |
| Amedisys Hospice, An Adventa Company | Chattanooga, TN | Hospice |
| Erlanger Medical Center | Chattanooga, TN | Hospital |
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Generations Center Of Spencer | Spencer, TN | Nursing home |
| Nhc Healthcare, Sequatchie | Dunlap, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chattanooga Hamilton County Hospital Authority | 0547179731 | 179 |
| Erlanger Health | 1153780226 | 502 |
| Erlanger Health | 1153780226 | 502 |
| Entity Name | Chattanooga Hamilton County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154751931 PECOS PAC ID: 0547179731 Enrollment ID: O20040302001086 |
| Entity Name | Erlanger Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477256303 PECOS PAC ID: 1153780226 Enrollment ID: O20230707000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fredrick S Dibrell, MD Po Box 11527, Chattanooga, TN 37401-2527 Ph: (423) 778-3274 | Dr Fredrick S Dibrell, MD 136 Wheelertown Avenue, Pikeville, TN 37367-5247 Ph: (423) 447-3524 |