Dr Elmer Rickey Gibbs, MD | |
49 Cleveland St 310, Crossville, TN 38555-2854 | |
(931) 787-1232 | |
(931) 787-1228 |
Full Name | Dr Elmer Rickey Gibbs |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 31 Years |
Location | 49 Cleveland St 310, Crossville, Tennessee |
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 |
---|---|---|---|
1841293891 | NPI | - | NPPES |
27-1779467 | Other | TAX ID | |
3382060 | Medicaid | TN | |
4042486 | Other | TN | TENNCARE SELECT NUMBER |
4252798 | Other | TN | BC/BS OF TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35733 (Tennessee) | Primary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35733 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Cumberland Medical Center | Crossville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Covenant Medical Group Inc | 2860305463 | 281 |
Entity Name | Covenant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
Mailing Address | Practice Location Address |
---|---|
Dr Elmer Rickey Gibbs, MD 49 Cleveland St 310, Crossville, TN 38555-2854 Ph: (931) 787-1232 | Dr Elmer Rickey Gibbs, MD 49 Cleveland St 310, Crossville, TN 38555-2854 Ph: (931) 787-1232 |
Mr. Reynaldo A Olaechea, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 124 Hayes St, Crossville, TN 38555 Phone: 931-787-1620 Fax: 931-787-1622 | |
Mr. Bruce Corwyn Raffel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Mr. Mark Alan Fox, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Mr. Donathan M Ivey, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Lantana Road, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
John Leslie Milligan, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 49 Cleveland St, Suite 310, Crossville, TN 38555 Phone: 931-787-1940 Fax: 931-787-1943 | |
Dr. Christopher M Bell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 124 Hayes St, Crossville, TN 38555 Phone: 931-459-7655 Fax: 931-787-1622 |