| Mrs Lisa J Gibbs, MA, CCC-A | |
|
1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 | |
| (928) 854-5368 | |
| (928) 854-4462 |
| Full Name | Mrs Lisa J Gibbs |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 39 Years |
| Location | 1760 Mcculloch Blvd N, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497926356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | DA0075 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arizona Coast Ear, Nose And Throat, Ltd. | 2668456104 | 5 |
| Provider Name | Arizona Coast Ear, Nose & Throat, Ltd. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467583898 PECOS PAC ID: 2668456104 Enrollment ID: O20040614001253 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa J Gibbs, MA, CCC-A 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 Ph: (928) 854-5368 | Mrs Lisa J Gibbs, MA, CCC-A 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 Ph: (928) 854-5368 |
Caroline Steele, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 116 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403 Phone: 928-615-1111 | |
Nicole Mackey, MS, CCC/A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 116 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403 Phone: 928-615-1111 Fax: 928-615-1111 | |
Dr. Karla Janet Navarro, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1945 Mesquite Ave Ste D, Lake Havasu City, AZ 86403 Phone: 520-343-0498 |