| Ricky L Gibson, CRNA | |
|
590 Medical Center Road, Fort Cavazos, TX 76544 | |
| (254) 288-8197 | |
| Not Available |
| Full Name | Ricky L Gibson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 590 Medical Center Road, Fort Cavazos, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295151405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP125380 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endo Sedation Llc | 4789845363 | 270 |
| Austin Gastroenterology Anesthesia Associates Pllc | 6305138603 | 24 |
| Entity Name | Endo Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
| Entity Name | Austin Gastroenterology Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427405810 PECOS PAC ID: 6305138603 Enrollment ID: O20160707000274 |
| Entity Name | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200422002521 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky L Gibson, CRNA 907 Eureka St, Weatherford, TX 76086-5880 Ph: (817) 598-8150 | Ricky L Gibson, CRNA 590 Medical Center Road, Fort Cavazos, TX 76544 Ph: (254) 288-8197 |
Joseph Ian Valencia Baldovino, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Building 36065, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Ashley Alejandra Morris, APRN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Peter Shellabarger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Rd, Fort Cavazos, TX 76544 Phone: 423-802-1421 | |
Lillian Resnick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 936-661-6291 | |
Jessica Ulinski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Tina Williams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-288-8197 |