Traci Lynn Gibbs, FPMHNP-BC/LCSW is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Meridian, Mississippi. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gibbs Comprehensive Care Llc, Gibbs Comprehensive Care Llc and her current practice location is
1054 Highway 19 S, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 531-3200.
Traci Lynn Gibbs is licensed to practice in Mississippi (license number R873052) 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 1104074210.
Healthcare Provider's Profile
| Full Name | Traci Lynn Gibbs |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 16 Years |
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| Location | 1054 Highway 19 S, Meridian, Mississippi |
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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. |
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Medical Education and Training:
- Traci Lynn Gibbs graduated from medical school in 2008
NPI Data:
- NPI Number: 1104074210
- Provider Enumeration Date: 09/03/2008
- Last Update Date: 09/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577692227
- Enrollment ID: I20100519000110
Medical Identifiers
Medical identifiers for Traci Lynn Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104074210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | C5063 (Mississippi) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP09407 (Louisiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP7757 (Arizona) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1451 (Alaska) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R873052 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gibbs Comprehensive Care Llc | 3476850694 | 3 |
| Gibbs Comprehensive Care Llc | 3476850694 | 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. Traci Lynn Gibbs allows following entities to bill medicare on her behalf.
| Entity Name | Gibbs Comprehensive Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538528294
PECOS PAC ID: 3476850694
Enrollment ID: O20160401000752 |
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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. Traci Lynn 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 |
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Traci Lynn Gibbs, FPMHNP-BC/LCSW
Po Box 188,
Toomsuba, MS 39364-0188
Ph: (601) 692-8997 | Traci Lynn Gibbs, FPMHNP-BC/LCSW
1054 Highway 19 S,
Meridian, MS 39301-8205
Ph: (601) 531-3200 |
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