Mark Gibbs, | |
7512 Gardner Park Dr, Gainesville, VA 20155-3414 | |
(703) 753-9860 | |
Not Available |
Full Name | Mark Gibbs |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 7512 Gardner Park Dr, Gainesville, Virginia |
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 |
---|---|---|---|
1306463930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024179511 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Renewal Dermatology And Medspa Pc | 8527216993 | 16 |
Renewal Dermatology And Medspa Pc | 8527216993 | 16 |
Entity Name | Renewal Dermatology & Medspa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619232469 PECOS PAC ID: 8527216993 Enrollment ID: O20130425000475 |
Mailing Address | Practice Location Address |
---|---|
Mark Gibbs, 7512 Gardner Park Dr, Gainesville, VA 20155-3414 Ph: () - | Mark Gibbs, 7512 Gardner Park Dr, Gainesville, VA 20155-3414 Ph: (703) 753-9860 |
Mrs. Veronica Isabel Hall, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14535 John Marshall Hwy Ste 105, Gainesville, VA 20155 Phone: 703-754-0425 | |
Jennifer M Staley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8180 Stonewall Shops Sq, Gainesville, VA 20155 Phone: 703-753-9799 Fax: 703-753-9792 | |
Anja Joy Frazier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8078 Crescent Park Dr Ste 201, Gainesville, VA 20155 Phone: 703-753-4999 | |
Diana Frahmand, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7915 Lake Manassas Dr Ste 302, Gainesville, VA 20155 Phone: 571-248-0653 Fax: 571-248-0658 | |
Erica Lynn Berry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6950 Piedmont Center Plz, Gainesville, VA 20155 Phone: 540-347-7611 | |
Sonia Parker, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7915 Lake Manassas Dr Ste 205, Gainesville, VA 20155 Phone: 571-261-3529 Fax: 703-753-5613 | |
Anna M Decoite, AG-PCNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Lake Manassas Dr, Gainesville, VA 20155 Phone: 571-222-2200 Fax: 571-222-2202 |