| Amanda Christine Gibson, DO | |
| 800 Rose St, Lexington, KY 40536-7001 | |
| (859) 323-2222 | |
| (859) 323-5090 | 
| Full Name | Amanda Christine Gibson | 
|---|---|
| Gender | Female | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 800 Rose St, Lexington, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740712868 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R4403 (Kentucky) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 05318 (Kentucky) | Primary | 
| Entity Name | University Of Kentucky | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072 | 
| Entity Name | Kentucky Medical Services Foundation, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda Christine Gibson, DO University Of Kentucky, 800 Rose Street, Room Hx-315, Lexington, KY 40536 Ph: () - | Amanda Christine Gibson, DO 800 Rose St, Lexington, KY 40536-7001 Ph: (859) 323-2222 | 
| Dr. Jeremy Wayne Thacker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Hx-302 Ukmc, Lexington, KY 40536 Phone: 859-257-4457 | |
| Dr. Gilroy Lane Daley Sr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3111 Maria Drive, Lexington, KY 40516 Phone: 859-293-2429 Fax: 859-293-2429 | |
| Janalyn Prows, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1401 Harrodsburg Rd, Suite A-100, Lexington, KY 40504 Phone: 859-258-6505 Fax: 859-258-6509 | |
| Shailendra Chopra, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 S Broadway, Lexington, KY 40504 Phone: 859-258-4181 Fax: 859-258-4058 | |
| Dr. Benedek Joseph Bognar, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 421 Bristol Rd, Lexington, KY 40502 Phone: 859-619-1042 | |
| Barry D Haney, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1218 S Broadway, Suite 310, Lexington, KY 40504 Phone: 859-219-0542 Fax: 859-219-9433 | |
| Dr. Robert Counts Pope, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1218 S Broadway Ste 310, Lexington, KY 40504 Phone: 859-219-0542 Fax: 859-219-9433 |