Charles Clarence Gibbs, MD is a
Anesthesiology physician based in Saranac Lake, New York. Charles Clarence Gibbs is licensed to practice in New York (license number 136590) and his current practice location is 253 County Route 47, Saranac Lake, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 891-2660.
NPI number for Charles Clarence Gibbs is 1316917446 and his current mailing address is Po Box 890, Saranac Lake, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316917446.
Physician's Profile
| Full Name | Charles Clarence Gibbs |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 253 County Route 47, Saranac Lake, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316917446
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Charles Clarence Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316917446 | NPI | - | NPPES |
| 136590-1 | Other | NY | NYS WORKERS' COMP |
| 00602433 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 136590 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Clarence Gibbs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles Clarence Gibbs, MD
Po Box 890,
Saranac Lake, NY 12983-0890
Ph: (518) 891-2660 | Charles Clarence Gibbs, MD
253 County Route 47,
Saranac Lake, NY 12983-5403
Ph: (518) 891-2660 |
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