| Dr John M Gibson, MD | |
|
1615 Delaware St, Longview, WA 98632-2310 | |
| (360) 414-2000 | |
| Not Available |
| Full Name | Dr John M Gibson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 1615 Delaware St, Longview, Washington |
| 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 |
|---|---|---|---|
| 1720288681 | NPI | - | NPPES |
| 8489247 | Medicaid | WA | |
| 274621 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00047671 (Washington) | Secondary |
| 207P00000X | Emergency Medicine | MD183368 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| Cep America Llc | 6608056171 | 732 |
| Entity Name | Walter Knox Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419018 PECOS PAC ID: 7012907785 Enrollment ID: O20040514000512 |
| Entity Name | Walter Knox Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1063419018 PECOS PAC ID: 7012907785 Enrollment ID: O20160721000463 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811357023 PECOS PAC ID: 6608056171 Enrollment ID: O20160803003292 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John M Gibson, MD Po Box 11510, Westminster, CA 92685-1510 Ph: (866) 883-5375 | Dr John M Gibson, MD 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 414-2000 |
John Y Kim, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4831 | |
Dr. Ryan Michael Caulfield, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4830 | |
Dr. Rusty Wes Gust, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Aftab A Awan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Paul A Schneider, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Gary Elliot Penner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Dr. Joshua Russell, M.D., MSC Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, St Johns Hospital - Peacehealth, Longview, WA 98632 Phone: 360-414-2000 |