Dr Marcus A Gibson, DMD in Louisville, KY - Medicare Dentist Provider

Dr Marcus A Gibson, DMD is a medicare enrolled "Dentist" provider in Louisville, Kentucky. His current practice location is 2215 Portland Ave, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 774-8631.

Dr Marcus A Gibson is licensed to practice in Kentucky (license number 7305) 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 1811029010.

Contact Information

	Dr Marcus A Gibson, DMD
	2215 Portland Ave, Louisville, KY 40212-1033
	(502) 774-8631
	(502) 772-8189

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Marcus A Gibson
Gender	Male
Speciality	Dentist
Location	2215 Portland Ave, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811029010
Provider Enumeration Date: 03/12/2007
Last Update Date: 04/14/2021

Medicare PECOS Information:

PECOS PAC ID: 8022320092
Enrollment ID: I20240111003125

Medical Identifiers

Medical identifiers for Dr Marcus A Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811029010	NPI	-	NPPES
7100174040	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7305 (Kentucky)	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. Dr Marcus A Gibson allows following entities to bill medicare on his behalf.

Entity Name	Family Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649732603 PECOS PAC ID: 6901700053 Enrollment ID: O20031121000045

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. Dr Marcus A 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
Dr Marcus A Gibson, DMD Po Box 950244, Louisville, KY 40295-0244 Ph: (502) 953-4700	Dr Marcus A Gibson, DMD 2215 Portland Ave, Louisville, KY 40212-1033 Ph: (502) 774-8631

Reviews and Comments

Dentist in Louisville, KY

Mary Margaret Lee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6511
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Stephanie N Luckett, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-772-8160 Fax: 502-772-8108
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Dr Marcus A Gibson, DMD - Medicare Dentist in Louisville, KY