Eric Dibben, PA - Medicare Physician Assistant in Derby, NY

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Eric Dibben, PA is a medicare enrolled "Physician Assistant" in Derby, New York. His current practice location is 7060 Erie Rd, Derby, New York. You can reach out to his office (for appointments etc.) via phone at (716) 947-0408.

Eric Dibben is licensed to practice in New York (license number 017286) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518389238.

Contact Information

Eric Dibben, PA
7060 Erie Rd,
Derby, NY 14047-9430
(716) 947-0408
(716) 947-0413

Map and Direction




Provider's Profile

Full NameEric Dibben
GenderMale
SpecialityPhysician Assistant
Location7060 Erie Rd, Derby, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518389238
  • Provider Enumeration Date: 01/15/2014
  • Last Update Date: 11/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8628208667
  • Enrollment ID: I20140313000421

Medical Identifiers

Medical identifiers for Eric Dibben such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518389238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 017286 (New York)Primary

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. Eric Dibben allows following entities to bill medicare on his behalf.
Entity NameMichael Pm Pond
Entity TypePractitioner - Emergency Medicine
Entity IdentifiersNPI Number: 1962472514
PECOS PAC ID: 6709854367
Enrollment ID: I20040921001002
Entity NameBuffalo Emergency Associates LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508816521
PECOS PAC ID: 4981502515
Enrollment ID: O20031222000057
Entity NameParkview Primary Care Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003806746
PECOS PAC ID: 0244225480
Enrollment ID: O20040417000270
Entity NameCanton-potsdam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761
Entity NameDelphi Hospitalist Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922270420
PECOS PAC ID: 5395819478
Enrollment ID: O20080807000352
Entity NameWellnow Urgent Care, P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669825162
PECOS PAC ID: 8325320864
Enrollment ID: O20170118001953
Entity NameLaura Davids MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063073971
PECOS PAC ID: 3678809837
Enrollment ID: O20190725000978

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. Eric Dibben 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
Eric Dibben, PA
50 Leroy St,
Potsdam, NY 13676-1786

Ph: (315) 265-3300		Eric Dibben, PA
7060 Erie Rd,
Derby, NY 14047-9430

Ph: (716) 947-0408

Reviews and Comments


Physician Assistant Nurses in Derby, NY

Mrs. Anjana Hemraj Porwal, RPA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6970 Erie Rd Ste A, Derby, NY 14047
Phone: 716-947-9147    Fax: 716-947-9147
Angel M Szkutak, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7060 Erie Rd, Derby, NY 14047
Phone: 716-947-0408    
Mrs. Debra Sue Longbine, RPA C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 6970 Erie Rd, Derby, NY 14047
Phone: 716-947-9147    Fax: 716-947-5175
Betsy L Strack, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 6763 Erie Rd, Derby, NY 14047
Phone: 716-947-2222    Fax: 716-947-2223

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.