Carmen Nicholas Dibenedetto, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ukiah, CA

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Carmen Nicholas Dibenedetto, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ukiah, California. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Services Of San Joaquin Pc and his current practice location is 275 Hospital Dr, Ukiah, California. You can reach out to his office (for appointments etc.) via phone at (707) 463-7516.

Carmen Nicholas Dibenedetto is licensed to practice in California (license number 563009) 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 1396407623.

Contact Information

Carmen Nicholas Dibenedetto, CRNA
275 Hospital Dr,
Ukiah, CA 95482-4531
(707) 463-7516
Not Available

Map and Direction




Provider's Profile

Full NameCarmen Nicholas Dibenedetto
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location275 Hospital Dr, Ukiah, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carmen Nicholas Dibenedetto graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1396407623
  • Provider Enumeration Date: 10/13/2021
  • Last Update Date: 11/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5597156976
  • Enrollment ID: I20211217002122

Medical Identifiers

Medical identifiers for Carmen Nicholas Dibenedetto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396407623NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 563009 (California)Primary
367500000XNurse Anesthetist, Certified Registered 95001636 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Medical Center Of StocktonStockton, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Services Of San Joaquin Pc408275405660

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. Carmen Nicholas Dibenedetto allows following entities to bill medicare on his behalf.
Entity NameWillits Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356339543
PECOS PAC ID: 7416940697
Enrollment ID: O20040405000843
Entity NameMountain Communities Healthcare District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1750462271
PECOS PAC ID: 9133227135
Enrollment ID: O20070613000851
Entity NameAnesthesia Services Of San Joaquin Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366778227
PECOS PAC ID: 4082754056
Enrollment ID: O20091223000174
Entity NameMountain Communities Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407027568
PECOS PAC ID: 9133227135
Enrollment ID: O20160208000679
Entity NameAdvanced Anesthesia Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720543762
PECOS PAC ID: 4880936145
Enrollment ID: O20190507001500
Entity NameAnesthesia Management Services Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003458704
PECOS PAC ID: 0840626040
Enrollment ID: O20200206002375
Entity NameValley Regional Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578272415
PECOS PAC ID: 3870964323
Enrollment ID: O20230120001928

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. Carmen Nicholas Dibenedetto 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 AddressPractice Location Address
Carmen Nicholas Dibenedetto, CRNA
1060 Via Escondida,
Novato, CA 94949-5932

Ph: (415) 300-7580		Carmen Nicholas Dibenedetto, CRNA
275 Hospital Dr,
Ukiah, CA 95482-4531

Ph: (707) 463-7516

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ukiah, CA

Samuel J Thibodeaux, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 271 Observatory Ave, Ukiah, CA 95482
Phone: 707-462-0681    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.