| Donald Gibson, | |
|
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
| (248) 898-6064 | |
| Not Available |
| Full Name | Donald Gibson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073573119 | NPI | - | NPPES |
| 300F362420 | Other | MI | BCBSM |
| 2849550 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301051346 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Gibson, 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (248) 577-9221 | Donald Gibson, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-6064 |
Terrence Metz, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Christopher W Keyes, MD Radiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7266 | |
Stephen Hudak, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-6262 | |
Kent Donovan, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509 | |
Dr. John Douglas Ebersole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6064 | |
Ajwad Bajwa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-0424 | |
Ebin Sebastian, MBBS Radiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd # Gme, Royal Oak, MI 48073 Phone: 248-551-3000 |