Mr Stacey L Gibson, DBH MBS MS LPC S in Durant, OK

Mr Stacey L Gibson, DBH MBS MS LPC S is a medicare enrolled "Counselor - Mental Health" provider in Durant, Oklahoma. His current practice location is 1312 N 1st Ave, Durant, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 920-2069.

Mr Stacey L Gibson is licensed to practice in Oklahoma (license number 4047) 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 1346448669.

Contact Information

	Mr Stacey L Gibson, DBH MBS MS LPC S
	1312 N 1st Ave, Durant, OK 74701-2810
	(580) 920-2069
	(580) 920-1010

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Stacey L Gibson
Gender	Male
Speciality	Counselor - Mental Health
Location	1312 N 1st Ave, Durant, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346448669
Provider Enumeration Date: 07/08/2007
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 8527135532
Enrollment ID: I20231208000109

Medical Identifiers

Medical identifiers for Mr Stacey L Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346448669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	59165 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	4047 (Oklahoma)	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 Stacey L Gibson allows following entities to bill medicare on his behalf.

Entity Name	Center For Psychological Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831409440 PECOS PAC ID: 5395929384 Enrollment ID: O20181020000086

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 Stacey L 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 Stacey L Gibson, DBH MBS MS LPC S 1312 N 1st Ave, Durant, OK 74701-2810 Ph: (580) 920-2069	Mr Stacey L Gibson, DBH MBS MS LPC S 1312 N 1st Ave, Durant, OK 74701-2810 Ph: (580) 920-2069

Reviews and Comments

Counselor in Durant, OK

Melissa Holaday, LBP Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 N 1st Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022
Mr. Preston John Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909
Natasha Tom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N 3rd Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022
David Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Main St, Durant, OK 74701 Phone: 580-924-7330
Daniel Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 N 12th Ave, Durant, OK 74701 Phone: 580-924-6363
Mrs. Christine Lynn Cragar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909
Kristi Lynn Burkhalter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909

Mr Stacey L Gibson, DBH MBS MS LPC S - Medicare Counselor in Durant, OK