| Timothy Pius Gibble, MD | |
|
500 Lauchwood Dr, Laurinburg, NC 28352-5501 | |
| (910) 291-6904 | |
| (910) 291-6907 |
| Full Name | Timothy Pius Gibble |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 500 Lauchwood Dr, Laurinburg, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386604064 | NPI | - | NPPES |
| N24654 | Medicaid | SC | |
| 8935040 | Medicaid | NC | |
| 1386604064 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 24654 (North Carolina) | Primary |
| 207R00000X | Internal Medicine | 24654 (North Carolina) | Secondary |
| Entity Name | Atlantic Internal Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982621546 PECOS PAC ID: 5698795805 Enrollment ID: O20051202000417 |
| Entity Name | Brunswick Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Pius Gibble, MD Po Box 602458, Charlotte, NC 28260-2458 Ph: (910) 291-6904 | Timothy Pius Gibble, MD 500 Lauchwood Dr, Laurinburg, NC 28352-5501 Ph: (910) 291-6904 |
Jeffrey Alan Moore, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-6904 | |
Veronica Efros, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-6904 | |
Cheryl J. Davis, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-6904 | |
Lori Heim, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-6904 | |
Emmanuel Bedeley, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-6904 | |
Arnaud Felix, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-6904 |