Mrs Annette Gibson, CDCA is a
Peer Specialist based in Cleveland, Ohio. Mrs Annette Gibson is licensed to practice in Ohio (license number ) and her current practice location is
16001 Holmes Ave, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 352-0200.
NPI number for Mrs Annette Gibson is 1619513470 and her current mailing address is 1624 Rydalmount Rd, Cleveland Hts, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619513470.
Healthcare Provider's Profile
Full Name | Mrs Annette Gibson |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 16001 Holmes Ave, Cleveland, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619513470
- Provider Enumeration Date: 11/26/2019
- Last Update Date: 02/20/2023
Medical Identifiers
Medical identifiers for Mrs Annette Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619513470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.171746 (Ohio) | Secondary |
175T00000X | Peer Specialist | (Ohio) | Primary |
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 Annette Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Annette Gibson, CDCA 1624 Rydalmount Rd, Cleveland Hts, OH 44118-1352 Ph: (216) 716-9998 | Mrs Annette Gibson, CDCA 16001 Holmes Ave, Cleveland, OH 44110-2460 Ph: (216) 352-0200 |
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