Mr Jesse Graham Gibbons, AA-C | |
3635 Vista, St. Louis, MO 63110 | |
(314) 577-8000 | |
Not Available |
Full Name | Mr Jesse Graham Gibbons |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 13 Years |
Location | 3635 Vista, St. Louis, Missouri |
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 |
---|---|---|---|
1245515295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 2011032476 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christian Hospital Northeast | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Anesthesia Providers Sc | 9830480581 | 143 |
Entity Name | Ssm Health Slu Hospital Anesthesia Physician Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407232804 PECOS PAC ID: 3274842331 Enrollment ID: O20151013000437 |
Entity Name | Midwest Anesthesia Providers Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846 |
Mailing Address | Practice Location Address |
---|---|
Mr Jesse Graham Gibbons, AA-C 853 Mark Dr, Akron, OH 44313-5842 Ph: (216) 372-1914 | Mr Jesse Graham Gibbons, AA-C 3635 Vista, St. Louis, MO 63110 Ph: (314) 577-8000 |
Ms. Nancy M Behnen, A.A. Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3635 Vista Avenue, Fdt-3, St. Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Mrs. Kristen Doherty, AA-C Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 615 S. New Ballas Rd., Dept. Of Anesthesiology, St. Louis, MO 63141 Phone: 314-251-4687 Fax: 636-386-7679 | |
Ms. Thalia Fernandez, C-AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 615 S. New Ballas Rd. Dept Of Anesthesia, St. Louis, MO 63141 Phone: 636-386-9224 Fax: 636-386-7679 |