Miss Lydia Gibson, | |
220 Nw R D Mize Rd Ste B203, Blue Springs, MO 64014-2540 | |
(816) 220-0223 | |
Not Available |
Full Name | Miss Lydia Gibson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 220 Nw R D Mize Rd Ste B203, Blue Springs, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316327067 | NPI | - | NPPES |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
Mailing Address | Practice Location Address |
---|---|
Miss Lydia Gibson, 3725 N Kansas Ave, Topeka, KS 66617-1559 Ph: (785) 409-0030 | Miss Lydia Gibson, 220 Nw R D Mize Rd Ste B203, Blue Springs, MO 64014-2540 Ph: (816) 220-0223 |
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