Dr Kelly A Gibson, AUD is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Santa Rosa, California. Her current practice location is
4725 Hoen Ave, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(707) 542-1154.
Dr Kelly A Gibson is licensed to practice in California (license number AU 2679) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841324860.
Healthcare Provider's Profile
| Full Name | Dr Kelly A Gibson |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 4725 Hoen Ave, Santa Rosa, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kelly A Gibson attended and graduated from in
NPI Data:
- NPI Number: 1841324860
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kelly A Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841324860 | NPI | - | NPPES |
| CB279930 | Other | CA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | AU 2679 (California) | Secondary |
| 231HA2400X | Audiologist - Assistive Technology Practitioner | AU 2679 (California) | Secondary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | AU 2679 (California) | Secondary |
| 237700000X | Hearing Instrument Specialist | (* (Not Available)) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | AU 2679 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly A Gibson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kelly A Gibson, AUD
750 N Commons Dr Ste 200,
Aurora, IL 60504-7940
Ph: (630) 303-5380 | Dr Kelly A Gibson, AUD
4725 Hoen Ave,
Santa Rosa, CA 95405-9402
Ph: (707) 542-1154 |
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