Bartley D Gibson, MSW LICSW is a medicare enrolled "Social Worker - Clinical" provider in Buckhannon, West Virginia. His current practice location is
75 Poplar St, Buckhannon, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 281-8920.
Bartley D Gibson is licensed to practice in West Virginia (license number DP00941536) 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 1699074682.
Healthcare Provider's Profile
Full Name | Bartley D Gibson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 75 Poplar St, Buckhannon, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699074682
- Provider Enumeration Date: 03/16/2011
- Last Update Date: 01/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355792557
- Enrollment ID: I20240112000655
Medical Identifiers
Medical identifiers for Bartley D Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699074682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | DP00941536 (West Virginia) | 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. Bartley D Gibson allows following entities to bill medicare on his behalf.
Entity Name | Kmg Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770297160 PECOS PAC ID: 1254782550 Enrollment ID: O20240111001678 |
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Entity Name | Teach Them To Fish Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932954138 PECOS PAC ID: 4587108188 Enrollment ID: O20240705002559 |
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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. Bartley D 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 |
Bartley D Gibson, MSW LICSW 180 Center St, Cramerton, NC 28032-1407 Ph: (304) 281-8920 | Bartley D Gibson, MSW LICSW 75 Poplar St, Buckhannon, WV 26201-7058 Ph: (304) 281-8920 |
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