Dr Miles Kenton Gibson, MD | |
92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642-8543 | |
(270) 866-7066 | |
(270) 866-7068 |
Full Name | Dr Miles Kenton Gibson |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 43 Years |
Location | 92 Joe T Petty Dr, Russell Springs, Kentucky |
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 |
---|---|---|---|
1700857414 | NPI | - | NPPES |
64221567 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22156 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lifeline Health Care Of Pulaski | Somerset, KY | Home health agency |
Russell County Hospital | Russell springs, KY | Hospital |
Casey County Hospital | Liberty, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Russell County Hospital | 6204887243 | 22 |
Entity Name | Russell County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437245842 PECOS PAC ID: 6204887243 Enrollment ID: O20050217000172 |
Mailing Address | Practice Location Address |
---|---|
Dr Miles Kenton Gibson, MD 92 Joe T. Pettey Dr., Suite 300, Russell Springs, KY 42642 Ph: (270) 866-7066 | Dr Miles Kenton Gibson, MD 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642-8543 Ph: (270) 866-7066 |
Alyssa L Kozacek, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Dr. Richard Stayton Miles, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Liesel C Grentz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Dr. Macon Samuel Bradley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-4141 | |
Leann Dalton Cooper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 |