| Aleah Pendergraff Gibson, MD | |
|
1640 Flossie Dr, Greendale, IN 47025-8424 | |
| (877) 670-7264 | |
| (812) 539-1824 |
| Full Name | Aleah Pendergraff Gibson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 1640 Flossie Dr, Greendale, Indiana |
| 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 |
|---|---|---|---|
| 1780792903 | NPI | - | NPPES |
| 200834290 | Medicaid | IN | |
| 64126824 | Medicaid | KY | |
| P00370136 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01062453A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dearborn County Hospital Home Health & Hospice | Lawrenceburg, IN | Home health agency |
| Loving Hearts Hospice And Palliative Care Llc | Batesville, IN | Hospice |
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| Dearborn County Hospital | Lawrenceburg, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20040403000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Aleah Pendergraff Gibson, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (877) 670-7264 | Aleah Pendergraff Gibson, MD 1640 Flossie Dr, Greendale, IN 47025-8424 Ph: (877) 670-7264 |
Dr. Mary A Gallaway, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Flossie Dr, Greendale, IN 47025 Phone: 812-496-3290 Fax: 812-537-0400 | |
Dr. Gerald Thomas Bowen, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Eads Pkwy Ste 150, Greendale, IN 47025 Phone: 812-539-2911 Fax: 812-537-7006 | |
Eugene Groysman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1640 Flossie Dr, Greendale, IN 47025 Phone: 855-227-4230 Fax: 812-926-1668 |