| Grace A Gibbs, DO | |
|
1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 | |
| (859) 259-2635 | |
| Not Available |
| Full Name | Grace A Gibbs |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Obstetrics |
| Location | 1306 Versailles Rd Ste 120, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306866074 | NPI | - | NPPES |
| 0700532 | Other | MI | PHP |
| 7100349070 | Medicaid | KY | |
| 160C311260 | Other | MI | BCBSM CHOICE BCN COM BLUE |
| 4865240 | Medicaid | MI | |
| 1020336 | Other | MI | MHP HAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 5101015015 (Michigan) | Primary |
| Entity Name | Bluegrass Primary Health Care Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215567474 PECOS PAC ID: 7810326915 Enrollment ID: O20200509000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace A Gibbs, DO 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 Ph: (859) 259-2635 | Grace A Gibbs, DO 1306 Versailles Rd Ste 120, Lexington, KY 40504-1795 Ph: (859) 259-2635 |
Dr. Allison Leigh Swiecki-sikora, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-6434 | |
Mrs. Jennifer A Fuson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1720 Nicholasville Rd, Ste 702, Lexington, KY 40503 Phone: 859-264-8811 Fax: 859-264-8822 | |
Tracey Owensby Carbajal, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1700 Nicholasville Rd, Suite 701, Lexington, KY 40503 Phone: 859-278-0396 Fax: 859-278-0396 | |
Larry S. Butler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3213 Summit Square Pl, Suite 200, Lexington, KY 40509 Phone: 859-381-1066 Fax: 859-263-0650 | |
Elizabeth Shawn Campbell, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 211 Fountain Ct Ste 230, Lexington, KY 40509 Phone: 859-629-7200 Fax: 859-629-7212 | |
Dr. Rudolph Michael Tovar, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose Street Rm. C-358, Lexington, KY 40536 Phone: 859-257-2321 Fax: 859-257-9089 | |
Alexandra Jamie Morell, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5553 Fax: 859-323-1602 |