All Medicaid billing entities listing GIBBONS, JACQUELYN (PHYSICIAN SENIOR PARTNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Pennsylvania | 1 | $860.23 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PROVIDENCE PEDIATRIC PRACTICE LLC | MEDIA, PA | Pediatrics Physician | $860.23 |