Chandra Dee Diebold, CRNP is a medicare enrolled "Nurse Practitioner" in West Union, West Virginia. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ritchie County Primary Care Assoc Inc, Ritchie County Primary Care Assoc Inc and her current practice location is
190 Marie St, West Union, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 873-1401.
Chandra Dee Diebold is licensed to practice in North Carolina (license number 276761) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942626098.
Provider's Profile
| Full Name | Chandra Dee Diebold |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 190 Marie St, West Union, West Virginia |
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| Accepts Medicare Assignments | Yes. She 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:
- Chandra Dee Diebold graduated from nursing school in 2013
NPI Data:
- NPI Number: 1942626098
- Provider Enumeration Date: 03/13/2014
- Last Update Date: 04/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 7517269426
- Enrollment ID: I20190503002174
Medical Identifiers
Medical identifiers for Chandra Dee Diebold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942626098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 276761 (North Carolina) | Primary |
| 363L00000X | Nurse Practitioner | SP013734 (Pennsylvania) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ritchie County Primary Care Assoc Inc | 0244142453 | 17 |
| Ritchie County Primary Care Assoc Inc | 0244142453 | 17 |
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. Chandra Dee Diebold allows following entities to bill medicare on her behalf.
| Entity Name | Ritchie County Primary Care Assoc Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265404230
PECOS PAC ID: 0244142453
Enrollment ID: O20031105000082 |
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| Entity Name | Fmrs Health Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881733616
PECOS PAC ID: 6406747914
Enrollment ID: O20040323001727 |
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| Entity Name | Ritchie County Primary Care Assoc Inc |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1265404230
PECOS PAC ID: 0244142453
Enrollment ID: O20080729000000 |
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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. Chandra Dee Diebold 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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Chandra Dee Diebold, CRNP
806 Hay St,
Fayetteville, NC 28305-5312
Ph: (910) 860-7008 | Chandra Dee Diebold, CRNP
190 Marie St,
West Union, WV 26456-1132
Ph: (304) 873-1401 |
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