| Sandra E Gibson, PA | |
|
5496 E Taft Rd, North Syracuse, NY 13212-3784 | |
| (315) 552-6700 | |
| (315) 552-6701 |
| Full Name | Sandra E Gibson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 5496 E Taft Rd, North Syracuse, New York |
| 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 |
|---|---|---|---|
| 1447686050 | NPI | - | NPPES |
| 03804024 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 016973 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Retina-vitreous Surgeons Of Central New York Pc | 4385622927 | 6 |
| Neurology Medical Service Group Llp | 7214928035 | 39 |
| Entity Name | Neurology Medical Service Group LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518907096 PECOS PAC ID: 7214928035 Enrollment ID: O20040520000956 |
| Entity Name | Retina-vitreous Surgeons of Central New York PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124012737 PECOS PAC ID: 4385622927 Enrollment ID: O20040710000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra E Gibson, PA 5496 E Taft Rd, North Syracuse, NY 13212-3784 Ph: (315) 552-6700 | Sandra E Gibson, PA 5496 E Taft Rd, North Syracuse, NY 13212-3784 Ph: (315) 552-6700 |
Mr. Robert C Richman Ii, R-PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5496 East Taft Road, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701 |
Mr. Parker William Lobel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-251-3100 |
Chelsea Taylor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701 |
Jaimie W Newman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6846 Buckley Rd, North Syracuse, NY 13212 Phone: 315-410-6400 Fax: 315-410-6410 |
Sheryl Lang-distefano, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 792 1/2 N Main St, North Syracuse, NY 13212 Phone: 315-701-0500 Fax: 315-701-3650 |
Dylan L Juda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6846 Buckley Rd Ste 1, North Syracuse, NY 13212 Phone: 315-410-6400 Fax: 315-410-6410 |
Mrs. Tracy Oneill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1304 Buckley Rd, North Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211 |