| William Robert Gibson, CRNA | |
|
1705 Tarboro St Sw, Wilson, NC 27893-3428 | |
| (252) 399-8040 | |
| Not Available |
| Full Name | William Robert Gibson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1705 Tarboro St Sw, Wilson, North Carolina |
| 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 |
|---|---|---|---|
| 1184603573 | NPI | - | NPPES |
| 4510719 | Medicaid | MI | |
| WG215191 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704215191 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 54459 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Presbyterian Hospital | 1153231907 | 350 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033412267 PECOS PAC ID: 2961316450 Enrollment ID: O20031118000860 |
| Entity Name | Novant Health Thomasville Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 |
| Entity Name | Carolina Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 |
| Entity Name | Medical Park Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 |
| Entity Name | The Presbyterian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Novant Health Rowan Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 |
| Entity Name | Novant Health Matthews Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184782419 PECOS PAC ID: 6406845247 Enrollment ID: O20051114000445 |
| Entity Name | Regional Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952486946 PECOS PAC ID: 3779681408 Enrollment ID: O20070604000698 |
| Entity Name | Presbyterian Sameday Surgery Center At Ballantyne Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1215061049 PECOS PAC ID: 4587759949 Enrollment ID: O20070928000739 |
| Entity Name | Presbyterian Sameday Surgery Center At Huntersville Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1063641801 PECOS PAC ID: 8426197971 Enrollment ID: O20100521000450 |
| Entity Name | Carolina Regional Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 |
| Entity Name | Brunswick Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
| Entity Name | Novant Health Kernersville Outpatient Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1750892659 PECOS PAC ID: 3870858525 Enrollment ID: O20180530000007 |
| Entity Name | Novant Health Mint Hill Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
| Entity Name | Novant Health Clemmons Outpatient Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1528521887 PECOS PAC ID: 6103154778 Enrollment ID: O20190820003091 |
| Mailing Address | Practice Location Address |
|---|---|
| William Robert Gibson, CRNA 3100 Spring Forest Rd Ste 130, Raleigh, NC 27616-2880 Ph: (919) 882-0774 | William Robert Gibson, CRNA 1705 Tarboro St Sw, Wilson, NC 27893-3428 Ph: (252) 399-8040 |
Amy Elizabeth Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1705 Tarboro St Sw, Wilson, NC 27893 Phone: 252-399-8688 | |
Shawn Dexter Pearce, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1705 Tarboro St Sw, Wilson, NC 27893 Phone: 252-399-8688 | |
Ebi P. Igba, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1705 Tarboro St Sw, Wilson, NC 27893 Phone: 252-399-8118 | |
Mrs. Paige Jeffries Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1705 Tarboro St Sw, Wilson, NC 27893 Phone: 252-399-8040 | |
Thomas James O'brien, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1705 Tarboro St Sw, Wilson, NC 27893 Phone: 252-399-8688 | |
Walter Wilson Starkey Iv, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1705 Tarboro St Sw, Wilson, NC 27893 Phone: 252-399-8640 |