Glenn G Gibbons, MD | |
1480 W Center St, Greenwood, AR 72936-3449 | |
(479) 996-5585 | |
(479) 996-5386 |
Full Name | Glenn G Gibbons |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1480 W Center St, Greenwood, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053308874 | NPI | - | NPPES |
200004590A | Medicaid | OK | |
148914001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E3378 (Arkansas) | Primary |
Entity Name | Fort Smith Hma Pbc Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383 |
Mailing Address | Practice Location Address |
---|---|
Glenn G Gibbons, MD Po Box 402319, Atlanta, GA 30384-2319 Ph: (479) 709-7399 | Glenn G Gibbons, MD 1480 W Center St, Greenwood, AR 72936-3449 Ph: (479) 996-5585 |
Dr. Lance W Barton, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 20 North Aster, Greenwood, AR 72936 Phone: 479-996-4111 Fax: 479-484-4793 | |
Wilson Javier Cruz-leal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1480 W Center St, Greenwood, AR 72936 Phone: 479-996-5585 Fax: 479-996-5386 | |
Dr. Aaron E White, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 North Aster, Greenwood, AR 72936 Phone: 479-996-4111 Fax: 479-484-4793 | |
Dr. Deborah A Hays, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 N Aster St, Greenwood, AR 72936 Phone: 479-996-4111 Fax: 479-484-4793 | |
Dr. Upton Gardner Siddons Sr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1480 W Center St, Greenwood, AR 72936 Phone: 479-996-5585 |