Mr Patrick Robert Gibson, LPC, LMFT in Grand Prairie, TX

Mr Patrick Robert Gibson, LPC, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Grand Prairie, Texas. His current practice location is 1020 S Carrier Pkwy, Grand Prairie, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 743-1200.

Mr Patrick Robert Gibson is licensed to practice in Texas (license number 10812) 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 1033288055.

Contact Information

	Mr Patrick Robert Gibson, LPC, LMFT
	1020 S Carrier Pkwy, Grand Prairie, TX 75051-1527
	(214) 743-1200
	(817) 451-1331

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Patrick Robert Gibson
Gender	Male
Speciality	Counselor - Mental Health
Location	1020 S Carrier Pkwy, Grand Prairie, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033288055
Provider Enumeration Date: 11/06/2006
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1759824212
Enrollment ID: I20240625002060

Medical Identifiers

Medical identifiers for Mr Patrick Robert Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033288055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	10812 (Texas)	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. Mr Patrick Robert Gibson allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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. Mr Patrick Robert 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
Mr Patrick Robert Gibson, LPC, LMFT 1716 Watson St, Fort Worth, TX 76103-2044 Ph: (817) 451-3380	Mr Patrick Robert Gibson, LPC, LMFT 1020 S Carrier Pkwy, Grand Prairie, TX 75051-1527 Ph: (214) 743-1200

Reviews and Comments

Counselor in Grand Prairie, TX

Ada M Hall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2778 Sun Rise Ln, Grand Prairie, TX 75052 Phone: 214-202-4567
Tracey Johnson, Counselor Medicare: Medicare Enrolled Practice Location: 2947 Mere Ln, Grand Prairie, TX 75054 Phone: 214-280-3053
Hui-li Walker, M.A., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4110 Scotland Dr, Grand Prairie, TX 75052 Phone: 682-331-2239
David Terpstra, MED LPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 S Carrier Parkway, Ste 397, Grand Prairie, TX 75051 Phone: 214-354-3648 Fax: 214-824-0414
Jacqueline Jernigan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4683 Betts Dr Ste 403, Grand Prairie, TX 75052 Phone: 469-726-9813
Darla R. Booker, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 2615 Lake Point Dr Apt 816, Grand Prairie, TX 75050 Phone: 405-255-8122

Mr Patrick Robert Gibson, LPC, LMFT - Medicare Counselor in Grand Prairie, TX