| Harold Gibson, PA | |
|
5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | |
| (734) 712-3456 | |
| Not Available |
| Full Name | Harold Gibson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5301 Mcauley Dr, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265469746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001587 (Michigan) | Primary |
| Entity Name | South Huron Urgent Care Center PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376853291 PECOS PAC ID: 6901086859 Enrollment ID: O20110209000501 |
| Mailing Address | Practice Location Address |
|---|---|
| Harold Gibson, PA 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: (734) 995-3764 | Harold Gibson, PA 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 Ph: (734) 712-3456 |
Kurt J Hiester, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5315 Elliott Dr, Ste 102, Ypsilanti, MI 48197 Phone: 734-434-4110 Fax: 734-434-1966 |
Mr. Daniel Patrick Defer, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-5609 |
Laura Beth Winningham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5303 Elliott Dr, Suite 210, Ypsilanti, MI 48197 Phone: 734-647-8902 |
Blake Malcolm Ely, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 248-697-1548 |
Diana Paez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Iha Hospital Medicine Services, 5301 E Huron River Drive, Ypsilanti, MI 48197 Phone: 734-712-8676 |
Phillip John Villanueva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-8676 Fax: 734-712-3855 |
Kay Awad, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 |