Mrs Lisa J Gibbs, MA, CCC-A is a medicare enrolled "Audiologist" provider in Lake Havasu City, Arizona. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Arizona Coast Ear, Nose And Throat, Ltd. and her current practice location is
1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 854-5368.
Mrs Lisa J Gibbs is licensed to practice in Arizona (license number DA0075) 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 1497926356.
Healthcare Provider's Profile
Full Name | Mrs Lisa J Gibbs |
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Gender | Female |
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Speciality | Qualified Audiologist |
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Experience | 37 Years |
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Location | 1760 Mcculloch Blvd N, Lake Havasu City, Arizona |
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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. |
Medical Education and Training:
- Mrs Lisa J Gibbs graduated from medical school in 1987
NPI Data:
- NPI Number: 1497926356
- Provider Enumeration Date: 03/19/2008
- Last Update Date: 03/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 4981779113
- Enrollment ID: I20080821000543
Medical Identifiers
Medical identifiers for Mrs Lisa J Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497926356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | DA0075 (Arizona) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Arizona Coast Ear, Nose And Throat, Ltd. | 2668456104 | 3 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Lisa J Gibbs allows following entities to bill medicare on her behalf.
Provider Name | Arizona Coast Ear, Nose & Throat, Ltd. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1467583898 PECOS PAC ID: 2668456104 Enrollment ID: O20040614001253 |
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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. Mrs Lisa J Gibbs 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 |
Mrs Lisa J Gibbs, MA, CCC-A 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 Ph: (928) 854-5368 | Mrs Lisa J Gibbs, MA, CCC-A 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 Ph: (928) 854-5368 |
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