Douglas W Gibson, MD | |
263 Farmington Ave, Radiology, Farmington, CT 06030-2803 | |
(860) 679-2784 | |
(860) 679-4126 |
Full Name | Douglas W Gibson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 53 Years |
Location | 263 Farmington Ave, Farmington, Connecticut |
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 |
---|---|---|---|
1447245030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | 017099 (Connecticut) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 017099 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John Dempsey Hospital | Farmington, CT | Hospital |
Bristol Hospital | Bristol, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Connecticut Health Center | 3678472016 | 540 |
Entity Name | University Of Connecticut Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
Entity Name | State Of Connecticut |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669466561 PECOS PAC ID: 8022915677 Enrollment ID: O20041122000596 |
Mailing Address | Practice Location Address |
---|---|
Douglas W Gibson, MD 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Douglas W Gibson, MD 263 Farmington Ave, Radiology, Farmington, CT 06030-2803 Ph: (860) 679-2784 |
Nehal Shah, Radiology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2784 Fax: 860-679-3145 | |
Miguel Angel Ramirez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06032 Phone: 860-679-2839 | |
Dr. Robert Matthew La Perla Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-8080 Fax: 860-679-1420 | |
Dr. Abner S Gershon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2784 Fax: 860-673-8379 | |
Dr. Alena Kreychman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4 Talcott Gln Unit D, Farmington, CT 06032 Phone: 860-978-2853 | |
Harold Moskowitz, MD Radiology Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-523-6421 Fax: 860-523-3201 | |
Dr. Daniel Eduardo Marrero, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2784 Fax: 860-679-3145 |