Dr Dana Lynn Gibson, MD | |
202 Limestone St S Ste 1a, Frankfort, KY 40601-4320 | |
(502) 223-8400 | |
(502) 875-3073 |
Full Name | Dr Dana Lynn Gibson |
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Gender | Male |
Speciality | Pediatrics |
Location | 202 Limestone St S Ste 1a, Frankfort, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972573269 | NPI | - | NPPES |
64253016 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25301 (Kentucky) | Primary |
Entity Name | Lake Cumberland Regional Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229 |
Entity Name | Norton Childrens Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
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Dr Dana Lynn Gibson, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Dr Dana Lynn Gibson, MD 202 Limestone St S Ste 1a, Frankfort, KY 40601-4320 Ph: (502) 223-8400 |
Vernon Mitchell May, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4 Physicians Park, Frankfort, KY 40601 Phone: 502-223-8400 Fax: 502-875-3073 | |
Suresh Saxena, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Physicians Park, Frankfort, KY 40601 Phone: 502-223-8400 Fax: 502-875-3073 | |
Taunya M Jasper, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Physicians Park, Frankfort, KY 40601 Phone: 502-223-8400 Fax: 502-875-3073 | |
David Hargrove Parker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Physicians Park, Frankfort, KY 40601 Phone: 502-223-8400 Fax: 502-875-3073 | |
Jennifer Ann Spath, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4 Physicians Park, Frankfort, KY 40601 Phone: 502-223-8400 Fax: 502-875-3073 | |
Bradley Coleman Chase, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Physicians Park, Frankfort, KY 40601 Phone: 502-223-8400 Fax: 502-875-3073 | |
Janice Marie Kregor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4 Physicians Park, Frankfort, KY 40601 Phone: 502-223-8400 Fax: 502-875-3073 |