| Ms Stacy Elaine Gibson, MD | |
|
1016 Mcquay Ave, Pocahontas, AR 72455-2407 | |
| (870) 892-9949 | |
| Not Available |
| Full Name | Ms Stacy Elaine Gibson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 1016 Mcquay Ave, Pocahontas, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902249279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-9548 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence Memorial Hospital | Walnut ridge, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 1st Choice Healthcare Inc | 0648184218 | 33 |
| Entity Name | 1st Choice Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942256508 PECOS PAC ID: 0648184218 Enrollment ID: O20100427000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stacy Elaine Gibson, MD Po Box 83, Corning, AR 72422-0083 Ph: (870) 857-3334 | Ms Stacy Elaine Gibson, MD 1016 Mcquay Ave, Pocahontas, AR 72455-2407 Ph: (870) 892-9949 |
Andrew J Jansen Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2901 Medical Center Dr, Pocahontas, AR 72455 Phone: 870-892-4467 Fax: 870-892-4407 | |
Brent E Holt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Medical Center Dr, Pocahontas, AR 72455 Phone: 870-892-4467 Fax: 870-892-4407 | |
Philip Anthony Jansen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2801 Medical Center Dr, Pocahontas, AR 72455 Phone: 870-892-6000 | |
Tara Meghan Kendall, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 2901 Medical Center Dr, Pocahontas, AR 72455 Phone: 870-892-4467 | |
Myra Kathleen Rowe, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1016 Mcquay Ave, Pocahontas, AR 72455 Phone: 870-892-9949 Fax: 870-892-0208 | |
Mrs. Natasha Marie Wantulok, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Medical Center Dr, Pocahontas, AR 72455 Phone: 870-892-4467 Fax: 870-892-4407 | |
Navin Mangroo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 Mcquay Ave, Pocahontas, AR 72455 Phone: 870-892-9949 Fax: 870-892-0208 |