| Gerald Gibbons Md Llc | |
|
1620 Highway 315 Blvd Ste 1 Wilkes Barre PA 18702-7125 | |
| (570) 237-5445 | |
| Not Available |
| Full Name | Gerald Gibbons Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1620 Highway 315 Blvd Ste 1, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Gerald Gibbons (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5702375445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Gibbons Md Llc 1620 Highway 315 Blvd Ste 1 Wilkes Barre PA 18702-7125 Ph: (570) 237-5445 | Gerald Gibbons Md Llc 1620 Highway 315 Blvd Ste 1 Wilkes Barre PA 18702-7125 Ph: (570) 237-5445 |
| NPI Number | 1336831940 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Medicare PECOS PAC ID | 4183086242 |
|---|---|
| Medicare Enrollment ID | O20230822001107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336831940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerald Gibbons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336147883 PECOS PAC ID: 6800975368 Enrollment ID: I20081013000291 |
Geisinger South Wilkes-barre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Church St, Wilkes Barre, PA 18765 Phone: 570-214-9763 | |
Geisinger South Wilkes Barre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Church St, Wilkes Barre, PA 18765 Phone: 570-826-3293 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Hanover St, Ste 203, Wilkes Barre, PA 18702 Phone: 570-825-8780 | |
Geisinger Wyoming Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-826-7300 | |
Wilkes Barre General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Hanover St, Wilkes Barre, PA 18702 Phone: 570-808-8780 | |
Geisinger Clinc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Baltimore Drive, Wilkes Barre, PA 18711 Phone: 570-808-6400 |