| Pamela Gibson, CRNP | |
|
52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | |
| (256) 524-3090 | |
| (256) 524-2885 |
| Full Name | Pamela Gibson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 52 S Valley Ave Ste B, Collinsville, Alabama |
| 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 |
|---|---|---|---|
| 1902450281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-139230 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 680 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639679962 PECOS PAC ID: 5395881841 Enrollment ID: O20200415001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Gibson, CRNP 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 Ph: (256) 524-3090 | Pamela Gibson, CRNP 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 Ph: (256) 524-3090 |
Ms. Judith Womack Jones, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 S Valley Ave, Collinsville, AL 35961 Phone: 850-602-4277 Fax: 256-228-3506 | |
Misty Sharp Ingram, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 S Valley Ave, Collinsville, AL 35961 Phone: 256-524-3090 | |
Virginia Kathleen Rutledge, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 S Valley Ave Ste B, Collinsville, AL 35961 Phone: 256-524-3090 Fax: 256-524-2885 | |
Dana Hall Siniard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 S Valley Ave Ste B, Collinsville, AL 35961 Phone: 256-524-3090 | |
Mrs. Misty Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 S Valley Ave Ste B, Collinsville, AL 35961 Phone: 256-524-3090 |