| Matthew Eugene Gibson, MD | |
| 10060 Regency Cir, Omaha, NE 68114-3732 | |
| (402) 354-1325 | |
| (402) 354-1301 | 
| Full Name | Matthew Eugene Gibson | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 10060 Regency Cir, Omaha, Nebraska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366881187 | NPI | - | NPPES | 
| 1366881187 | Medicaid | IA | |
| 10225837400 | Medicaid | NE | |
| 47068731742 | Medicaid | NE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 29196 (Nebraska) | Primary | 
| 208000000X | Pediatrics | 6987 (Nebraska) | Secondary | 
| Entity Name | Physicians Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Eugene Gibson, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Matthew Eugene Gibson, MD 10060 Regency Cir, Omaha, NE 68114-3732 Ph: (402) 354-1325 | 
| Dr. Amanda Marshall,  Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-2292 | |
| Clayton Mowrer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-4060 | |
| Makenzie Grant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 983040 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-8501 | |
| Dr. Karen D. Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4224 S 50th St, Omaha, NE 68117 Phone: 402-733-3444 Fax: 402-731-0790 | |
| Rose Elizabeth Mccoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 982185 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-5380 | |
| John D Kugler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-4350 Fax: 402-955-4356 | |
| Margarita Dickey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3353 L St, Omaha, NE 68107 Phone: 402-354-7700 Fax: 402-354-7710 |