| Kelli Gibbs, | |
|
902 N Orange St, Missoula, MT 59802-2928 | |
| (406) 329-5736 | |
| (406) 329-2941 |
| Full Name | Kelli Gibbs |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 902 N Orange St, Missoula, Montana |
| 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 |
|---|---|---|---|
| 1225279227 | NPI | - | NPPES |
| M011004293 | Other | MT | MEDICARE PTAN - |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MED-PAC-LIC-573 (Montana) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Medical Center | Missoula, MT | Hospital |
| St Patrick Hospital | Missoula, MT | Hospital |
| Bitterroot Health - Daly Hospital | Hamilton, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Montana P C | 4486712833 | 82 |
| Providence Health And Services Mt | 6608786306 | 358 |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
| Entity Name | Cogent Healthcare of Montana P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053569525 PECOS PAC ID: 4486712833 Enrollment ID: O20081029000254 |
| Entity Name | Rchp Billings - Missoula LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376946913 PECOS PAC ID: 8426370842 Enrollment ID: O20150312000492 |
| Entity Name | Hospitalist Medicine Physicians of Montana - Tcs PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902567183 PECOS PAC ID: 5597143982 Enrollment ID: O20220525001139 |
| Entity Name | Missoula Valley Physical Medicine and Rehabilitation PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982327227 PECOS PAC ID: 8426429978 Enrollment ID: O20230120001833 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Gibbs, Po Box 31001, 4114, Pasadena, CA 91110-4114 Ph: (406) 329-5736 | Kelli Gibbs, 902 N Orange St, Missoula, MT 59802-2928 Ph: (406) 329-5736 |
Patricia Lynn Brewer, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2415 S Catlin St, Missoula, MT 59801 Phone: 406-549-0267 |
Ann Maureen O'connor, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 |
Ruth M West, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 N Orange St, Suite #207, Missoula, MT 59802 Phone: 406-721-4540 |
Lina Montopoli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 Fax: 406-721-6053 |
Kendall Bauer Chrane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2740 South Ave W, Missoula, MT 59804 Phone: 406-728-6010 Fax: 406-721-3278 |
Mr. Damien Colvin Powledge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-543-7271 |
Mr. Matthew Mcgady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-543-7271 Fax: 406-327-1834 |