Theresa R Gibson, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Rogers City, Michigan. Her current practice location is
156 S 3rd St, Rogers City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 255-3505.
Theresa R Gibson is licensed to practice in Michigan (license number 6801081687) 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 1942453519.
Healthcare Provider's Profile
Full Name | Theresa R Gibson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 156 S 3rd St, Rogers City, Michigan |
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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: 1942453519
- Provider Enumeration Date: 10/28/2008
- Last Update Date: 12/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587725262
- Enrollment ID: I20081213000064
Medical Identifiers
Medical identifiers for Theresa R Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942453519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801081687 (Michigan) | 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. Theresa R Gibson allows following entities to bill medicare on her behalf.
Entity Name | Northeast Michigan Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144378381 PECOS PAC ID: 2264498005 Enrollment ID: O20041203000522 |
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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. Theresa R 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 |
Theresa R Gibson, LMSW 156 S 3rd St, Rogers City, MI 49779-1710 Ph: (989) 255-3505 | Theresa R Gibson, LMSW 156 S 3rd St, Rogers City, MI 49779-1710 Ph: (989) 255-3505 |
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