Dr Joan E Gibson, MD | |
1 Highway 18, Pine Ridge, SD 57770-9998 | |
(605) 867-5131 | |
(605) 867-3306 |
Full Name | Dr Joan E Gibson |
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Gender | Female |
Speciality | Pediatrics |
Location | 1 Highway 18, Pine Ridge, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962474965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5548 (South Dakota) | Primary |
208000000X | Pediatrics | 33818 (Arizona) | Secondary |
208000000X | Pediatrics | 217566 (New York) | Secondary |
Entity Name | Rapid City Indian Health Service Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316900327 PECOS PAC ID: 4789597840 Enrollment ID: O20031106000218 |
Entity Name | Great Plains Tribal Chairmens Health Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376105452 PECOS PAC ID: 0648609917 Enrollment ID: O20200408001014 |
Mailing Address | Practice Location Address |
---|---|
Dr Joan E Gibson, MD Po Box 1201, Highway 18 East, Pine Ridge, SD 57770-1201 Ph: (605) 867-5131 | Dr Joan E Gibson, MD 1 Highway 18, Pine Ridge, SD 57770-9998 Ph: (605) 867-5131 |
Dr. Fernando Cosme, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Highway 18 E, Pine Ridge Hospital, Pine Ridge, SD 57770 Phone: 605-867-3151 Fax: 605-867-3306 | |
Dr. S Patrick Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Phs Hospital East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-5131 | |
Sandra Kay Rooks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Highway 18, Phs Indian Hospital, Pine Ridge, SD 57770 Phone: 605-867-3171 | |
Carmen A Ruiz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: East Highway 18, Pine Ridge Indian Hospital, Pine Ridge, SD 57770 Phone: 605-867-5131 Fax: 605-867-3306 | |
Dr. Barbara J Berry-palmier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Pine Ridge Hospital, East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-3183 |