| Grace Patricia Dible, CNM | |
|
951 Mariners Island Blvd Ste 300, San Mateo, CA 94404-1560 | |
| (650) 285-6927 | |
| (888) 352-7383 |
| Full Name | Grace Patricia Dible |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 951 Mariners Island Blvd Ste 300, San Mateo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114525789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 09000360A (Indiana) | Primary |
| Entity Name | Healthnet Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780634964 PECOS PAC ID: 7214840933 Enrollment ID: O20031110000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Patricia Dible, CNM 1229 Orange St, Indianapolis, IN 46203-1932 Ph: (312) 479-2252 | Grace Patricia Dible, CNM 951 Mariners Island Blvd Ste 300, San Mateo, CA 94404-1560 Ph: (650) 285-6927 |
Ms. Bethany Nourse Golden, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2211 Palm Ave, San Mateo, CA 94403 Phone: 650-574-2628 | |
Courtney Elizabeth Benedict, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2211 Palm Ave, San Mateo, CA 94403 Phone: 650-574-5823 Fax: 650-574-3894 | |
Alicia Pollak, MS, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2211 Palm Ave, San Mateo, CA 94403 Phone: 650-574-2628 Fax: 650-574-3894 | |
Max David Farber, MS, CNM, WHNP-BC, RN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 |