Wallace Gibbons, MD | |
820 N Chelan Ave, Wenatchee, WA 98801-2028 | |
(509) 663-8711 | |
Not Available |
Full Name | Wallace Gibbons |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 39 Years |
Location | 820 N Chelan Ave, Wenatchee, Washington |
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 |
---|---|---|---|
1932134244 | NPI | - | NPPES |
P01256576 | Other | WA | RR MEDICARE |
1932134244 | Medicaid | WA | |
31238 | Other | WA | L&I |
315977 | Other | WA | L&I POST 7/21/13 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD00024544 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Washington Health Services Association | 4880504596 | 644 |
Entity Name | Central Washington Health Services Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
Entity Name | Wenatchee Valley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669719688 PECOS PAC ID: 9537309869 Enrollment ID: O20130716000034 |
Mailing Address | Practice Location Address |
---|---|
Wallace Gibbons, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: () - | Wallace Gibbons, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 |
Travis M Clark, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Dr. Cheryl S Shih, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Ian Mclaren, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Dale T Peterson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Brent Alexander Knight, Urology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
James Mansel Harris, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Jeffrey M Monda, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 |