Breyana Gibson, CRNA | |
1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | |
(570) 808-7850 | |
(570) 808-7855 |
Full Name | Breyana Gibson |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1000 E Mountain Blvd, Wilkes Barre, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023744323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN680322 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN680322 (Pennsylvania) | Primary |
Entity Name | Northeastern Anesthesia Physicians P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275594830 PECOS PAC ID: 8820996853 Enrollment ID: O20031229000532 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Geisinger-hm Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
Entity Name | Capital Anesthesia Solutions Of Philadelphia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407402365 PECOS PAC ID: 5597197046 Enrollment ID: O20191121001321 |
Mailing Address | Practice Location Address |
---|---|
Breyana Gibson, CRNA 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Breyana Gibson, CRNA 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 Ph: (570) 808-7850 |
Dr. Caroline L Raskiewicz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-552-3689 Fax: 570-552-3697 | |
Kelsey L Mihal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 | |
Nicholas Morreale, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300 | |
Ryan Williams, RN BSN MSN CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855 | |
Wendy Kane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855 | |
Lisa Hayes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 Fax: 570-208-5548 | |
Vincent Cleveland David, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 |