Dr Mark William Gibson, DC is a medicare enrolled "Chiropractor" provider in Marsing, Idaho. His current practice location is
7a Reich Street, Marsing, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 896-5520.
Dr Mark William Gibson is licensed to practice in Idaho (license number CHIA-1130) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720083439.
Healthcare Provider's Profile
| Full Name | Dr Mark William Gibson |
|---|
| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 7a Reich Street, Marsing, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720083439
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 03/10/2008
Medicare PECOS Information:
- PECOS PAC ID: 7315946563
- Enrollment ID: I20061215000423
Medical Identifiers
Medical identifiers for Dr Mark William Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720083439 | NPI | - | NPPES |
| 8078441 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CHIA-1130 (Idaho) | Primary |
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. Dr Mark William Gibson allows following entities to bill medicare on his behalf.
| Provider Name | Mna Gibson P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316117005
PECOS PAC ID: 9537248968
Enrollment ID: O20080509000218 |
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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. Dr Mark William 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 Mark William Gibson, DC
Po Box 252, 7a Reich St.,
Marsing, ID 83639-0252
Ph: (208) 921-1781 | Dr Mark William Gibson, DC
7a Reich Street,
Marsing, ID 83639-0252
Ph: (208) 896-5520 |
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