Timothy J Gibson, CRNA | |
701 6th St S, St Petersburg, FL 33701-4814 | |
(727) 823-2188 | |
(727) 828-0723 |
Full Name | Timothy J Gibson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 701 6th St S, St Petersburg, Florida |
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 |
---|---|---|---|
1518136126 | NPI | - | NPPES |
003865300 | Medicaid | FL | |
G00SE | Other | FL | BCBS OF FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9320410 (Florida) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 2003005268 (Missouri) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Tulsa Anesthesia Llc | 1355634023 | 3 |
Triad Eye Institute Pllc | 6507083557 | 24 |
Entity Name | St. John Anesthesia Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
Entity Name | Anesthesia Associates Of Oklahoma Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770891475 PECOS PAC ID: 7113100470 Enrollment ID: O20110323000735 |
Entity Name | Triad Eye Institute Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093743213 PECOS PAC ID: 6507083557 Enrollment ID: O20140918000152 |
Entity Name | South Tulsa Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104286640 PECOS PAC ID: 1355634023 Enrollment ID: O20160803001541 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
Entity Name | Lifeguard Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225557242 PECOS PAC ID: 0244660892 Enrollment ID: O20200422000489 |
Mailing Address | Practice Location Address |
---|---|
Timothy J Gibson, CRNA 1120 S Utica Ave, Tulsa, OK 74104-4012 Ph: (918) 744-3664 | Timothy J Gibson, CRNA 701 6th St S, St Petersburg, FL 33701-4814 Ph: (727) 823-2188 |
Jeanne Hardin-gres, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701 Phone: 727-456-3288 Fax: 727-456-3289 | |
Katherine Lisa Khokhar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-828-3218 Fax: 727-828-0723 | |
Ms. Gloria Jr Fain, CBC CNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1311 Asturia Way South, St Petersburg, FL 33705 Phone: 727-866-7403 Fax: 727-866-9495 | |
William James Quatman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3637 4th St N, Suite 400, St Petersburg, FL 33704 Phone: 727-823-1234 | |
Erik Scott Rauch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-2188 Fax: 727-823-9502 | |
Candice Queen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 | |
Lauren Elizabeth Pylant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 |