| Jerica Lashay Gibson, DO | |
|
33637 Us Highway 280, Childersburg, AL 35044-3028 | |
| (256) 378-3313 | |
| Not Available |
| Full Name | Jerica Lashay Gibson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 33637 Us Highway 280, Childersburg, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467072926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO.2737 (Alabama) | Primary |
| Entity Name | Management And Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952484081 PECOS PAC ID: 4981504172 Enrollment ID: O20040127001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerica Lashay Gibson, DO 33637 Us Highway 280, Childersburg, AL 35044-3028 Ph: (256) 378-3313 | Jerica Lashay Gibson, DO 33637 Us Highway 280, Childersburg, AL 35044-3028 Ph: (256) 378-3313 |
Susan Deane Mccollum, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 34011 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3313 Fax: 256-378-3315 | |
Jarod E Speer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34011 Us Highway 280, Suite A, Childersburg, AL 35044 Phone: 256-378-3313 Fax: 256-378-5912 | |
Molly Andrews Ellis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34011 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3313 | |
Norman Donald Chambers, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33733 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3301 Fax: 256-378-3026 |