| Larry Gibson, MD | |
|
2051 Hamill Rd, Ste 301 B, Hixson, TN 37343-6614 | |
| (423) 877-1212 | |
| Not Available |
| Full Name | Larry Gibson |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 44 Years |
| Location | 2051 Hamill Rd, Hixson, Tennessee |
| 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 |
|---|---|---|---|
| 1114013521 | NPI | - | NPPES |
| 3074845 | Other | TN | BLUECROSS BLUESHIELD |
| 3181502 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD19747 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Chattanooga | Chattanooga, TN | Home health agency |
| Parkridge Medical Center | Chattanooga, TN | Hospital |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Erlanger Medical Center | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northgate Neurology, Pllc | 6901997535 | 2 |
| Entity Name | Northgate Neurology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235355744 PECOS PAC ID: 6901997535 Enrollment ID: O20070810000171 |
| Entity Name | Rtna, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871830380 PECOS PAC ID: 7911143128 Enrollment ID: O20130520000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Gibson, MD 2051 Hamill Rd Suite 302, Hixson, TN 37343 Ph: (423) 877-1212 | Larry Gibson, MD 2051 Hamill Rd, Ste 301 B, Hixson, TN 37343-6614 Ph: (423) 877-1212 |
Dr. Cornelius Jefferson Mance, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2051 Hamill Rd, Ste 302, Hixson, TN 37343 Phone: 423-877-1212 |