| Mitchell S Gibbons, | |
|
7520 W 160th St Ste 100, Overland Park, KS 66085-8137 | |
| (913) 871-8221 | |
| Not Available |
| Full Name | Mitchell S Gibbons |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 5 Years |
| Location | 7520 W 160th St Ste 100, Overland Park, Kansas |
| 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 |
|---|---|---|---|
| 1871116210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | R-11831 (Iowa) | Secondary |
| 207R00000X | Internal Medicine | R-11831 (Iowa) | Secondary |
| 207N00000X | Dermatology | 04-48713 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Valley Dermatology Llc | 9133499973 | 10 |
| Entity Name | Blue Valley Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104354794 PECOS PAC ID: 9133499973 Enrollment ID: O20170726003732 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell S Gibbons, 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: () - | Mitchell S Gibbons, 7520 W 160th St Ste 100, Overland Park, KS 66085-8137 Ph: (913) 871-8221 |
Madison Faddis, DNP, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8505 College Blvd, Overland Park, KS 66210 Phone: 913-541-3230 | |
Dr. Carol Foulds, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6730 W 121st St, Overland Park, KS 66209 Phone: 913-387-1120 Fax: 913-387-1120 | |
Dr. Amy Jiayue Petty, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 10740 Nall Ave # Level3, Overland Park, KS 66211 Phone: 913-588-1227 Fax: 913-588-8761 | |
Reba Suri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11520 W 119th St, Overland Park, KS 66213 Phone: 913-232-9372 Fax: 913-344-3665 | |
Dr. Lisa Marie Morris, MD Dermatology Medicare: Medicare Enrolled Practice Location: 10740 Nall Ave, Overland Park, KS 66211 Phone: 913-588-1227 | |
Meena Kumari Singh, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11520 West 119th Street, Overland Park, KS 66213 Phone: 913-232-9372 Fax: 913-344-3665 | |
Jeffery Justin Graves, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7901 W 135th St, Overland Park, KS 66223 Phone: 913-451-7546 Fax: 913-663-2411 |