Mrs Kristian Antionette Gibson-ford, LCSW in Raleigh, NC

Mrs Kristian Antionette Gibson-ford, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is 3323 Cotton Press St, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (317) 507-6450.

Mrs Kristian Antionette Gibson-ford is licensed to practice in North Carolina (license number C012286) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841781119.

Contact Information

	Mrs Kristian Antionette Gibson-ford, LCSW
	3323 Cotton Press St, Raleigh, NC 27614-8675
	(317) 507-6450
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristian Antionette Gibson-ford
Gender	Female
Speciality	Social Worker - Clinical
Location	3323 Cotton Press St, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841781119
Provider Enumeration Date: 05/22/2018
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3476941840
Enrollment ID: I20211104001082

Medical Identifiers

Medical identifiers for Mrs Kristian Antionette Gibson-ford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841781119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34006886A (Indiana)	Secondary
1041C0700X	Social Worker - Clinical	C012286 (North Carolina)	Primary
101YM0800X	Counselor - Mental Health	C012286 (North Carolina)	Secondary

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 Kristian Antionette Gibson-ford allows following entities to bill medicare on her behalf.

Entity Name	Premise Health Of North Carolina Medical, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427575869 PECOS PAC ID: 7315927597 Enrollment ID: O20211104000772

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 Kristian Antionette Gibson-ford 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 Kristian Antionette Gibson-ford, LCSW 3323 Cotton Press St, Raleigh, NC 27614-8675 Ph: (317) 507-6450	Mrs Kristian Antionette Gibson-ford, LCSW 3323 Cotton Press St, Raleigh, NC 27614-8675 Ph: (317) 507-6450

Reviews and Comments

Social Worker in Raleigh, NC

Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975
Miss Kimberly G. Kueny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Navaho Dr, Suite 210, Raleigh, NC 27609 Phone: 919-872-1178 Fax: 919-872-1170
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580

Mrs Kristian Antionette Gibson-ford, LCSW - Medicare Clinical Social Worker in Raleigh, NC