Kathleen Gibson, MD | |
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
(336) 716-2255 | |
(336) 716-7595 |
Full Name | Kathleen Gibson |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 34 Years |
Location | Medical Center Blvd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922082981 | NPI | - | NPPES |
891169V | Medicaid | NC | |
2003690000 | Medicaid | WV | |
46204 | Other | PARTNERS | |
1169V | Other | BCBS | |
B3049 | Other | MEDCOST | |
6608167 | Medicaid | VA | |
7572345 | Other | AETNA | |
Q0161C | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | 96-01616 (North Carolina) | Primary |
207ZC0500X | Pathology - Cytopathology | 96-01616 (North Carolina) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Ridge Pathology Associates | 2466447446 | 4 |
Entity Name | Wake Forest University Health Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Entity Name | Blue Ridge Pathology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568425262 PECOS PAC ID: 2466447446 Enrollment ID: O20040419000818 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Gibson, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Kathleen Gibson, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Stacey O'neill, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4195 Fax: 336-716-3202 | |
Abbott Julian Garvin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 | |
Dr. Kimberly Ann Stogner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Department Of Pathology, Winston Salem, NC 27157 Phone: 336-716-2673 | |
Dr. Herbert Miles Schiller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2851 Kensington Rd, Winston Salem, NC 27106 Phone: 336-724-9607 | |
Graham Parks, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 | |
Gregory Jay Pomper, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6368 | |
Dr. Cyrus Koresh Manavi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 |