| Dr Benjamin R Gibson, MD | |
|
1225 Woodlawn Ave Ste 114, Cambridge, OH 43725-3094 | |
| (740) 213-7129 | |
| (440) 201-6574 |
| Full Name | Dr Benjamin R Gibson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 1225 Woodlawn Ave Ste 114, Cambridge, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619257508 | NPI | - | NPPES |
| 0052742 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35097558 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeastern Ohio Regional Medical Center | Cambridge, OH | Hospital |
| Genesis Hospital | Zanesville, OH | Hospital |
| Coshocton Regional Medical Center | Coshocton, OH | Hospital |
| Barnesville Hospital Association, Inc | Barnesville, OH | Hospital |
| Wheeling Hospital | Wheeling, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Group Of Southeastern Ohio Inc | 8628232469 | 55 |
| Entity Name | Gu Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871248740 PECOS PAC ID: 2961898192 Enrollment ID: O20220414002568 |
| Entity Name | Physicians Group Of Southeastern Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528177730 PECOS PAC ID: 8628232469 Enrollment ID: O20231205003249 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin R Gibson, MD 1225 Woodlawn Ave Ste 114, Cambridge, OH 43725-3094 Ph: (740) 213-7129 | Dr Benjamin R Gibson, MD 1225 Woodlawn Ave Ste 114, Cambridge, OH 43725-3094 Ph: (740) 213-7129 |
Thomas M Picklow, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1200 Clark St, Cambridge, OH 43725 Phone: 740-439-8997 Fax: 740-439-8996 |