| Dwala Gibson, | |
|
902 E Lincoln Rd, Idabel, OK 74745-7337 | |
| (580) 286-2600 | |
| (580) 286-1087 |
| Full Name | Dwala Gibson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 902 E Lincoln Rd, Idabel, Oklahoma |
| 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 |
|---|---|---|---|
| 1346628088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R0083725 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Irene Benn Medical Center | 0840430724 | 4 |
| Entity Name | Choctaw Nation Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
| Entity Name | Irene Benn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841535317 PECOS PAC ID: 0840430724 Enrollment ID: O20130717000832 |
| Entity Name | Mashantucket Pequot Tribal Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508140922 PECOS PAC ID: 8628295599 Enrollment ID: O20140818000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwala Gibson, 902 E Lincoln Rd, Idabel, OK 74745-7337 Ph: (580) 286-2600 | Dwala Gibson, 902 E Lincoln Rd, Idabel, OK 74745-7337 Ph: (580) 286-2600 |
Jane M Harmon, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 S Central Ave Ste 2, Idabel, OK 74745 Phone: 580-236-9886 | |
Ms. Megan Brooke Lewis, APRN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lynn Ln, Idabel, OK 74745 Phone: 580-286-6628 Fax: 580-286-2012 | |
Natausha Shauntrece Walker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 805 E Washington St, Idabel, OK 74745 Phone: 580-286-1095 Fax: 580-286-3122 | |
Jennifer Lee Fuller, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 S Lynn Ln, Idabel, OK 74745 Phone: 580-286-3993 | |
Mrs. Ramona Lynn Goolsby, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Se Washington St, Idabel, OK 74745 Phone: 580-286-6699 Fax: 580-286-6699 | |
Heather N England, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 S Lynn Ln, Idabel, OK 74745 Phone: 580-245-7024 Fax: 855-576-4102 |