JEROME DIBACCO (NPI# 1528668894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528668894 |
| Entity Type | Individual |
| Full Name | JEROME DIBACCO |
| Practice Address |
725 Yokum St Elkins WV 26241-3353 |
| Practice Telephone | 3046363232 |
| Mailing Telephone | 3046363232 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
725 YOKUM ST |
| City | ELKINS |
| State | WV |
| Zip Code | 26241-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386793057 | Joy Darlene Messenger | Social Worker | 725 Yokum St, Elkins, WV 26241-3353 | 2007-01-10 |
| 1114528577 | Linda M Harper | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-11-03 |
| 1699375949 | Edith Bickel | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-27 |
| 1457951709 | Monnah Butcher | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-27 |
| 1255931523 | Kitty Judy | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-27 |
| 1982204251 | Lloyd Robinson | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-27 |
| 1184224420 | Goldie A Tenney | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-27 |
| 1740880004 | Barbara Reed | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-27 |
| 1740880095 | Crystal Lea Shoemaker | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-27 |
| 1194325449 | Robin Vanover | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1316544224 | Brittany Underwood | Technician | 27 Midway Loop Rd., Elkins, WV 26241 | 2020-10-04 |
| 1740895820 | Brandie Elaine Lambert | Technician | 1 Fifth Street, Elkins, WV 26241 | 2020-09-15 |
| 1174134118 | Sherri Lynn Stahl | Technician | 36 Midland Street, Elkins, WV 26241 | 2020-08-13 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1578173092 | Stephen Foy | Technician | 216 Davis Street, Elkins, WV 26241 | 2020-08-10 |
| 1497364913 | Renee Taylor | Technician | Lot 12 Valley View Mhp, Elkins, WV 26241 | 2020-07-30 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1003318841 | Anna Foster | Nurse Practitioner | 911 Gorman Ave. #201, Elkins, WV 26241 | 2018-03-07 |
| Find all providers in zip 26241 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339895 | Traci Lynn Roy | Case Manager/Care Coordinator | 60 Barnard Ave, Elkins, WV 26241-3150 | 2020-09-01 |
| 1417561259 | Sarah Elaine Woodlock | Case Manager/Care Coordinator | 60 Barnard Ave Ste 1, Elkins, WV 26241-3150 | 2020-08-31 |
| 1942819354 | Makenzie Cooper | Case Manager/Care Coordinator | 296 Apple Creek Rd, Elkins, WV 26241-7518 | 2020-07-31 |
| 1740899897 | Jasmine Austin | Case Manager/Care Coordinator | 32 Baxter St, Elkins, WV 26241-3575 | 2020-07-24 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1417566571 | Cassandra Scott | Case Manager/Care Coordinator | 98 Canterbury Dr, Elkins, WV 26241-5686 | 2020-07-24 |
| 1528677671 | Stephanie White | Case Manager/Care Coordinator | 1407 Lavalette Ave, Elkins, WV 26241-3013 | 2020-07-24 |
| 1639458185 | Alternative Home Care LLC | Case Manager/Care Coordinator | 312 Railroad Ave, Elkins, WV 26241-3859 | 2011-08-15 |
| 1215535083 | Regina King | Case Manager/Care Coordinator | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-14 |
| 1003423088 | Felisha Oates | Case Manager/Care Coordinator | 60 Barnard Ave, Elkins, WV 26241-3150 | 2020-09-24 |
| Find all providers in ELKINS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.