| Danielle Gibson, MD | |
|
1602 Hatcher Lane, Columbia, TN 38401 | |
| (931) 490-1000 | |
| (931) 388-1548 |
| Full Name | Danielle Gibson |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1602 Hatcher Lane, Columbia, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831135896 | NPI | - | NPPES |
| 200149150 | Medicaid | IN | |
| 4054110 | Other | BLUE CARE/TN CARE | |
| 3403473 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD36402 (Tennessee) | Primary |
| Entity Name | Urology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053346064 PECOS PAC ID: 9739153354 Enrollment ID: O20040820000319 |
| Entity Name | Saint Francis Physician Network, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295258002 PECOS PAC ID: 2365701943 Enrollment ID: O20180129001351 |
| Entity Name | Edmunds Gastroenterology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972084069 PECOS PAC ID: 4486908969 Enrollment ID: O20181120000905 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Gibson, MD 1602 Hatcher Lane, Columbia, TN 38401 Ph: (931) 388-0777 | Danielle Gibson, MD 1602 Hatcher Lane, Columbia, TN 38401 Ph: (931) 490-1000 |
Dr. Alexander Clark Thurman, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1602 Hatcher Ln, Columbia, TN 38401 Phone: 931-388-0777 Fax: 931-388-1548 | |
John R Olson, MD Pathology Medicare: Medicare Enrolled Practice Location: 1602 Hatcher Ln, Columbia, TN 38401 Phone: 931-388-0777 Fax: 931-388-1548 | |
Joseph C Moore, MD Pathology Medicare: Medicare Enrolled Practice Location: 1602 Hatcher Ln, Columbia, TN 38401 Phone: 931-388-0777 Fax: 931-388-1548 | |
Dr. Mike David Jaramillo, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1602 Hatcher Ln, Columbia, TN 38401 Phone: 931-490-1018 | |
Jack T Pearson, MD Pathology Medicare: Medicare Enrolled Practice Location: 1602 Hatcher Lane, Columbia, TN 38401 Phone: 931-377-0777 Fax: 931-388-1548 | |
Charles B Bramlett Jr., MD Pathology Medicare: Medicare Enrolled Practice Location: 1602 Hatcher Lane, Columbia, TN 38401 Phone: 931-388-0777 Fax: 931-388-1548 | |
Daniel Doyle Canale Jr., MD Pathology Medicare: Medicare Enrolled Practice Location: 1602 Hatcher Ln, Columbia, TN 38401 Phone: 931-388-0777 Fax: 931-388-1548 |