| Mark R Gibson, MD | |
|
80 Mahalani St, Wailuku, HI 96793-2531 | |
| (808) 243-6000 | |
| Not Available |
| Full Name | Mark R Gibson |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 25 Years |
| Location | 80 Mahalani St, Wailuku, Hawaii |
| 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 |
|---|---|---|---|
| 1730107038 | NPI | - | NPPES |
| 2118815 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 227243 (Massachusetts) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | MD-17283 (Hawaii) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital | Honolulu, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hawaii Permanente Medical Group Inc | 7618880667 | 610 |
| Entity Name | Hawaii Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Gibson, MD 80 Mahalani St, Wailuku, HI 96793-2531 Ph: (808) 243-6000 | Mark R Gibson, MD 80 Mahalani St, Wailuku, HI 96793-2531 Ph: (808) 243-6000 |
Bettina Wong Haerer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1787 Wili Pa Loop Ste 7, Wailuku, HI 96793 Phone: 808-249-2121 Fax: 808-242-8920 | |
Dr. James M Mckinnon, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-244-9056 Fax: 808-242-2488 | |
Douglas M Cooper, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 121 Mahalani St., Wailuku, HI 96793 Phone: 808-984-2150 Fax: 808-984-2155 | |
Dr. Jennifer B Villa, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Leslie Hartley Gise, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 121 Mahalani St, Wailuku, HI 96793 Phone: 808-984-2150 Fax: 808-984-2155 | |
George Powell, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-243-2321 | |
Dr. Riggs Bailey Roberts, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1883 Mill St Ste B, Wailuku, HI 96793 Phone: 808-242-9233 Fax: 808-249-2546 |