| Michael Dibernardo Therapy Solutions Llc | |
| 
					801 Rue Saint Francois St Ste D Florissant MO 63031-4948  | |
| (314) 219-8883 | |
| Not Available | 
| Full Name | Michael Dibernardo Therapy Solutions Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 801 Rue Saint Francois St Ste D, Florissant, Missouri | 
| Authorized Official Name and Position | Michael Dibernardo (SOLE OWNER) | 
| Authorized Official Contact | 3142198883 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Dibernardo Therapy Solutions Llc 1480 Saint Catherine St Florissant MO 63033-3410 Ph: (425) 791-2550  | Michael Dibernardo Therapy Solutions Llc 801 Rue Saint Francois St Ste D Florissant MO 63031-4948 Ph: (314) 219-8883  | 
| NPI Number | 1558912246 | 
|---|---|
| Provider Enumeration Date | 09/24/2019 | 
| Last Update Date | 09/24/2019 | 
| Medicare PECOS PAC ID | 7315279155 | 
|---|---|
| Medicare Enrollment ID | O20191029001751 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558912246 | NPI | - | NPPES | 
| 490042224 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
| Provider Name | Michael J Dibernardo | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1568814044 PECOS PAC ID: 7416282561 Enrollment ID: I20190711000526  | 
Physician Groups Lc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Suite 220, Florissant, MO 63031 Phone: 314-838-6700 Fax: 314-838-6020  | |
Kim Lee Mcdonald, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4585 Washington St, Suite C4, Florissant, MO 63033 Phone: 314-838-8839 Fax: 314-838-4291  | |
Physician Groups Lc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Suite 101, Florissant, MO 63031 Phone: 314-831-6737 Fax: 314-831-9269  | |
Ssm Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Shackelford Rd, Florissant, MO 63031 Phone: 314-921-4420 Fax: 314-921-6086  | |
Chambers Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Dunn Rd, Suite 204, Florissant, MO 63033 Phone: 314-831-2600 Fax: 314-831-5393  | |
Chandra S. Kaup,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite 2006, Florissant, MO 63031 Phone: 314-830-5233 Fax: 314-830-5225  | |
Total Access Urgent Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 N Highway 67 St, Florissant, MO 63031 Phone: 314-961-2255 Fax: 314-270-3694  |