Keith Dibenedetto, CRNP - Medicare Nurse Practitioner in Phoenix, MD

Keith Dibenedetto, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Phoenix, Maryland. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Maryland Family Care Inc and his current practice location is 2617 Stockton Rd, Phoenix, Maryland. You can reach out to his office (for appointments etc.) via phone at (561) 632-9839.

Keith Dibenedetto is licensed to practice in Maryland (license number R210044) 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 1699259580.

Contact Information

Keith Dibenedetto, CRNP
2617 Stockton Rd,
Phoenix, MD 21131-1117
(561) 632-9839
Not Available

Map and Direction




Provider's Profile

Full NameKeith Dibenedetto
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location2617 Stockton Rd, Phoenix, Maryland
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:
  • Keith Dibenedetto graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1699259580
  • Provider Enumeration Date: 09/18/2018
  • Last Update Date: 09/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4385981935
  • Enrollment ID: I20190122000148

Medical Identifiers

Medical identifiers for Keith Dibenedetto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699259580NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health R210044 (Maryland)Secondary
363LP2300XNurse Practitioner - Primary Care R210044 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maryland Family Care Inc5092629394127

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. Keith Dibenedetto allows following entities to bill medicare on his behalf.
Entity NameMaryland Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718256
PECOS PAC ID: 5092629394
Enrollment ID: O20031119000273

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. Keith 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
Keith Dibenedetto, CRNP
2617 Stockton Rd,
Phoenix, MD 21131-1117

Ph: (561) 632-9839
Keith Dibenedetto, CRNP
2617 Stockton Rd,
Phoenix, MD 21131-1117

Ph: (561) 632-9839

Reviews and Comments


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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.