Dr Robert Randall Gibson, MD | |
212 Carlanna Lake Rd Ste 100, Ketchikan, AK 99901-5642 | |
(907) 228-8140 | |
Not Available |
Full Name | Dr Robert Randall Gibson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 212 Carlanna Lake Rd Ste 100, Ketchikan, Alaska |
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 |
---|---|---|---|
1700904406 | NPI | - | NPPES |
MD3965 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5493 (Alaska) | Primary |
207Q00000X | Family Medicine | A51581 (California) | Secondary |
207Q00000X | Family Medicine | 29061 (Colorado) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metlakatla Indian Community | 5890691315 | 15 |
Entity Name | Metlakatla Indian Community |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740294081 PECOS PAC ID: 5890691315 Enrollment ID: O20031208000361 |
Entity Name | Tanana Chiefs Conference |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821201278 PECOS PAC ID: 9537050109 Enrollment ID: O20050111000954 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Randall Gibson, MD Po Box 470, Kotzebue, AK 99752-0470 Ph: (907) 442-7148 | Dr Robert Randall Gibson, MD 212 Carlanna Lake Rd Ste 100, Ketchikan, AK 99901-5642 Ph: (907) 228-8140 |
V Malurkar Anthes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3524 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-9830 Fax: 907-225-9840 | |
Kathryn Lynn Price, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-4900 Fax: 800-852-3264 | |
Diane L Liljegren, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8140 Fax: 907-228-8440 | |
Catherine Ruth, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8300 Fax: 907-228-8440 | |
Mr. Mark Edward Mitchell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2960 Tongass Avenue, Ketchikan, AK 99901 Phone: 907-228-4900 Fax: 800-852-3264 | |
Ian Dobbe, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-5171 Fax: 907-228-8335 |