| Dr Kenneth Wayne Gibson, DO | |
|
124 E Main St, Hulbert, OK 74441-8902 | |
| (918) 772-3390 | |
| (918) 772-1233 |
| Full Name | Dr Kenneth Wayne Gibson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 45 Years |
| Location | 124 E Main St, Hulbert, Oklahoma |
| 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 |
|---|---|---|---|
| 1245241413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9095 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 2170 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of East Oklahoma | Broken arrow, OK | Home health agency |
| Oklahoma Healthcare Solutions Xi | Gore, OK | Home health agency |
| Cherokee Nation Home Health Services | Tahlequah, OK | Home health agency |
| Healthback Home Health Of Stigler | Stigler, OK | Home health agency |
| Hospice Of The Cherokee | Tahlequah, OK | Hospice |
| Northeastern Health System | Tahlequah, OK | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Oklahoma Community Health Centers, Inc | 3678482635 | 36 |
| Entity Name | Northeastern Oklahoma Community Health Centers, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518070481 PECOS PAC ID: 3678482635 Enrollment ID: O20031104000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Wayne Gibson, DO Po Box 751, Hulbert, OK 74441-8902 Ph: (918) 772-3390 | Dr Kenneth Wayne Gibson, DO 124 E Main St, Hulbert, OK 74441-8902 Ph: (918) 772-3390 |