Mr Kevin Scott Gibbs, RN | |
6668 Fourth Section Rd, Brockport, NY 14420-2448 | |
(585) 368-6870 | |
(585) 368-6871 |
Full Name | Mr Kevin Scott Gibbs |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 6668 Fourth Section Rd, Brockport, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811527096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0705X | Registered Nurse - Medical-surgical | 717458-1 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 347986 (New York) | Primary |
Entity Name | St James Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699839431 PECOS PAC ID: 0345154480 Enrollment ID: O20031113000649 |
Entity Name | The Unity Hospital Of Rochester |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
Entity Name | The Memorial Hospital Of William F And Gertrude F Jones Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720030703 PECOS PAC ID: 7012828486 Enrollment ID: O20040310000938 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin Scott Gibbs, RN 6668 Fourth Section Rd, Brockport, NY 14420-2448 Ph: (585) 368-6870 | Mr Kevin Scott Gibbs, RN 6668 Fourth Section Rd, Brockport, NY 14420-2448 Ph: (585) 368-6870 |
Nancy S Iafrati, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 Phone: 585-395-2414 | |
Karyn Felice, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 170 West Ave, Brockport, NY 14420 Phone: 585-395-6052 | |
Michele Lynne Telga, WHNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6668 4th Section Road, Brockport, NY 14420 Phone: 585-637-2670 Fax: 585-637-3678 | |
Cheryl M Van Lare, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 New Campus Dr, Hazen Student Health Center, Brockport, NY 14420 Phone: 585-395-2414 | |
Abigail Naomi Wilson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 362 Gilmore Rd, Brockport, NY 14420 Phone: 585-481-7215 | |
Quinn Maloney, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 New Campus Dr, Brockport, NY 14420 Phone: 585-395-2414 Fax: 585-395-2559 | |
Stephanie Lozada Henning, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 156 West Ave Fl 2, Brockport, NY 14420 Phone: 585-758-7557 Fax: 585-637-5626 |