| Russell Eugene Gibson, MD | |
|
107 Glidepath Way, Lebanon, TN 37090-4133 | |
| (615) 449-5771 | |
| Not Available |
| Full Name | Russell Eugene Gibson |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 25 Years |
| Location | 107 Glidepath Way, Lebanon, 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 |
|---|---|---|---|
| 1568513075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080S0012X | Pediatrics - Sleep Medicine | 4301087799 (Michigan) | Secondary |
| 2080S0012X | Pediatrics - Sleep Medicine | 41991 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Thomas Medical Partners | 1557269354 | 516 |
| Entity Name | Saint Thomas Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Eugene Gibson, MD Po Box 1172, Lebanon, TN 37088-1172 Ph: (615) 449-5771 | Russell Eugene Gibson, MD 107 Glidepath Way, Lebanon, TN 37090-4133 Ph: (615) 449-5771 |
Dr. Tara Newton, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 404 N Castle Heights Ave Ste F, Lebanon, TN 37087 Phone: 615-784-4140 Fax: 615-784-4139 | |
Dr. Stephen Harmon Claycomb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-9492 Fax: 615-453-9498 | |
Dr. Charles Andrew Jordan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-1252 Fax: 615-453-1286 | |
Donna Woodall Lett, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 920 S Hartmann Dr Ste 200, Lebanon, TN 37090 Phone: 629-255-2031 Fax: 629-255-4222 | |
Dr. Vernon David Savell Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 832 Pebble Cove Rd, Lebanon, TN 37087 Phone: 615-752-8287 | |
Dr. Yvonne Waclawa Pawlowski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-1252 Fax: 615-453-1286 | |
Dr. George William Robertson Ii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-6203 Fax: 615-444-6252 |