South Gibson Medical Clinic Inc. - Medicare Primary Care in Fort Branch, IN

South Gibson Medical Clinic Inc. is a medicare enrolled primary clinic (Family Medicine) in Fort Branch, Indiana. The current practice location for South Gibson Medical Clinic Inc. is 7861 S Professional Dr, Fort Branch, Indiana. For appointments, you can reach them via phone at (812) 753-4181. The mailing address for South Gibson Medical Clinic Inc. is Po Box 185, Fort Branch, Indiana and phone number is (812) 753-4181.

South Gibson Medical Clinic Inc. is licensed to practice in Indiana (license number 01027038). The clinic also participates in the medicare program and its NPI number is 1659538841. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 753-4181.

Contact Information

South Gibson Medical Clinic Inc.
7861 S Professional Dr
Fort Branch
IN 47648-8405
(812) 753-4181
(812) 753-4399

Primary Care Clinic Profile

Full NameSouth Gibson Medical Clinic Inc.
SpecialityFamily Medicine
Location7861 S Professional Dr, Fort Branch, Indiana
Authorized Official Name and PositionQuinten B Emerson (PROVIDER/OWNER)
Authorized Official Contact8127534181
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
South Gibson Medical Clinic Inc.
Po Box 185
Fort Branch
IN 47648-0185

Ph: (812) 753-4181
South Gibson Medical Clinic Inc.
7861 S Professional Dr
Fort Branch
IN 47648-8405

Ph: (812) 753-4181

NPI Details:

NPI Number1659538841
Provider Enumeration Date05/16/2008
Last Update Date07/30/2008

Medicare PECOS Information:

Medicare PECOS PAC ID6002980133
Medicare Enrollment IDO20080807000141

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Medical Identifiers

Medical identifiers for South Gibson Medical Clinic Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659538841NPI-NPPES
100122120MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01027038 (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. South Gibson Medical Clinic Inc. acts as a billing entity for following providers:
Provider NameQuentin Emerson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427065341
PECOS PAC ID: 3577536911
Enrollment ID: I20080805000506

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Family Medicine in Fort Branch, IN

Deaconess Gibson Ft Branch
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 7851 S Professional Dr, Fort Branch, IN 47648
Phone: 812-615-5071    Fax: 812-615-5040
Deaconess Clinic I
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 802 E Oak St, Fort Branch, IN 47648
Phone: 812-753-3942    Fax: 812-768-6283
Deaconess Medical Group - Ft Branch
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 802 E Oak St, Fort Branch, IN 47648
Phone: 812-753-3942    Fax: 812-768-6283
Deaconess Clinic Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7898 S Professional Dr, Fort Branch, IN 47648
Phone: 812-615-5019    Fax: 812-615-5041

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