Dr Roger O Gibson, M D | |
1374 Cordova Cv, Suite 102, Germantown, TN 38138-2200 | |
(901) 751-0150 | |
(901) 751-1419 |
Full Name | Dr Roger O Gibson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 48 Years |
Location | 1374 Cordova Cv, Germantown, 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 |
---|---|---|---|
1316930704 | NPI | - | NPPES |
10277 | Other | TN | TN MEDICAL LICENSE |
2006851 | Other | TN | BLUE CROSS OF TENNESSEE |
3382574 | Medicaid | TN | |
44D0314829 | Other | TN | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10277 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Baptist Memorial Hospital | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Roger O. Gibson Md Pc | 2163611260 | 2 |
Entity Name | Roger O. Gibson Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386836062 PECOS PAC ID: 2163611260 Enrollment ID: O20110105000348 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger O Gibson, M D 1374 Cordova Cv, Suite 102, Germantown, TN 38138-2200 Ph: (901) 751-0150 | Dr Roger O Gibson, M D 1374 Cordova Cv, Suite 102, Germantown, TN 38138-2200 Ph: (901) 751-0150 |
Homayoun Reza Ahmadian, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8060 Wolf River Blvd, Germantown, TN 38138 Phone: 901-271-1000 Fax: 901-271-4187 | |
Mehul B Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7460 Wolf River Blvd, Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-761-4002 | |
Dr. Peter David Snell, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-682-1233 Fax: 901-682-0044 | |
William Thomas Rawlinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7205 Wolf River Blvd, Suite 100, Germantown, TN 38138 Phone: 901-684-1322 Fax: 901-682-6368 | |
Dr. Justin Leonadus Yancey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7640 Wolf River Cir Fl 2, Germantown, TN 38138 Phone: 901-755-0208 Fax: 901-757-0208 | |
Dr. Michael Aaron Nelson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7751 Wolf River Blvd, Germantown, TN 38138 Phone: 901-297-4000 Fax: 901-531-8344 | |
Kurt W Tauer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7945 Wolf River Blvd, Germantown, TN 38138 Phone: 901-683-0055 Fax: 901-922-6757 |