Timothy Daniel Dibble, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Spokane Valley, Washington. He went to University Of Washington School Of Medicine and graduated in 1991 and has 35 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice T Daniel Dibble Md Pc and his current practice location is
1123 N Evergreen Rd, Spokane Valley, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 363-3100.
Timothy Daniel Dibble is licensed to practice in Washington (license number MD00042632) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508936212.
Physician's Profile
| Full Name | Timothy Daniel Dibble |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 35 Years |
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| Location | 1123 N Evergreen Rd, Spokane Valley, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timothy Daniel Dibble attended and graduated from University Of Washington School Of Medicine in 1991
NPI Data:
- NPI Number: 1508936212
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426047192
- Enrollment ID: I20040508000265
Medical Identifiers
Medical identifiers for Timothy Daniel Dibble such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508936212 | NPI | - | NPPES |
| CJ9109 | Other | WA | RAILROAD MEDICARE |
| 157490 | Other | WA | LABOR & INDUSTRIES |
| 805808900 | Medicaid | ID | |
| 1115443 | Medicaid | WA | |
| 125300300 | Other | WA | US DEPT OF LABOR-OWCP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | M-7950 (Idaho) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | M-7950 (Idaho) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD00042632 (Washington) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | MD00042632 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| T Daniel Dibble Md Pc | 1254320922 | 12 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Timothy Daniel Dibble allows following entities to bill medicare on his behalf.
| Entity Name | T Daniel Dibble Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780754499
PECOS PAC ID: 1254320922
Enrollment ID: O20040507001165 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Daniel Dibble is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Timothy Daniel Dibble, MD
Po Box 808,
Veradale, WA 99037-0808
Ph: (509) 363-3100 | Timothy Daniel Dibble, MD
1123 N Evergreen Rd,
Spokane Valley, WA 99216-1138
Ph: (509) 363-3100 |
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