| Dr Joan E Gibson, MD | |
|
1 Highway 18, Pine Ridge, SD 57770-9998 | |
| (605) 867-5131 | |
| (605) 867-3306 |
| Full Name | Dr Joan E Gibson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1 Highway 18, Pine Ridge, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962474965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5548 (South Dakota) | Primary |
| 208000000X | Pediatrics | 33818 (Arizona) | Secondary |
| 208000000X | Pediatrics | 217566 (New York) | Secondary |
| Entity Name | Great Plains Tribal Chairmens Health Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376105452 PECOS PAC ID: 0648609917 Enrollment ID: O20200408001014 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joan E Gibson, MD Po Box 1201, Highway 18 East, Pine Ridge, SD 57770-1201 Ph: (605) 867-5131 | Dr Joan E Gibson, MD 1 Highway 18, Pine Ridge, SD 57770-9998 Ph: (605) 867-5131 |
Dr. Fernando Cosme, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Highway 18 E, Pine Ridge Hospital, Pine Ridge, SD 57770 Phone: 605-867-3151 Fax: 605-867-3306 | |
Dr. S Patrick Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Phs Hospital East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-5131 | |
Sandra Kay Rooks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Highway 18, Phs Indian Hospital, Pine Ridge, SD 57770 Phone: 605-867-3171 | |
Carmen A Ruiz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: East Highway 18, Pine Ridge Indian Hospital, Pine Ridge, SD 57770 Phone: 605-867-5131 Fax: 605-867-3306 | |
Dr. Barbara J Berry-palmier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Pine Ridge Hospital, East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-3183 |