| Michael Dibiase, | |
|
185 Silas Deane Hwy, Wethersfield, CT 06109-1219 | |
| (860) 222-0840 | |
| Not Available |
| Full Name | Michael Dibiase |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 185 Silas Deane Hwy, Wethersfield, Connecticut |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245627801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 63949 (Connecticut) | Primary |
| Entity Name | The Hospital of Central Connecticut at New Britain General and Bradley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
| Entity Name | Midstate Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
| Entity Name | Michael Dibiase, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063205789 PECOS PAC ID: 3971004458 Enrollment ID: O20250827002479 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Dibiase, 100 Grand St Fl 1, New Britain, CT 06052-2016 Ph: Not Available | Michael Dibiase, 185 Silas Deane Hwy, Wethersfield, CT 06109-1219 Ph: (860) 222-0840 |
Katherine Elizabeth Provaznik, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy Ste 101, Wethersfield, CT 06109 Phone: 860-545-7550 |
Mr. Victor Tirado, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 929 Silas Deane Hwy, 2nd Floor West, Wethersfield, CT 06109 Phone: 860-372-4731 Fax: 860-372-4730 |
Amy Elaine Sanders, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy, Hartford Hospital Neurology Dept, Wethersfield, CT 06109 Phone: 860-696-2820 |