Dr Wanda D Gibson, DDS is a medicare enrolled "Dentist" provider in Pelion, South Carolina. Her current practice location is
8063 Edmund Hwy, Eau Claire Cooperative Health Centers, Pelion, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 894-3736.
Dr Wanda D Gibson is licensed to practice in South Carolina (license number SC7106) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659453918.
Healthcare Provider's Profile
Full Name | Dr Wanda D Gibson |
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Gender | Female |
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Speciality | Dentist |
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Location | 8063 Edmund Hwy, Pelion, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659453918
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163678228
- Enrollment ID: I20120807000006
Medical Identifiers
Medical identifiers for Dr Wanda D Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659453918 | NPI | - | NPPES |
ZX7106 | Medicaid | SC | |
LNO7106 | Other | SC | DENTAL REGISTRATION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | SC7106 (South Carolina) | 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 Wanda D Gibson allows following entities to bill medicare on her behalf.
Entity Name | Eau Claire Cooperative Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
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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. Dr Wanda D 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 Wanda D Gibson, DDS 169 Laurelhurst Ave, Columbia, SC 29210-3825 Ph: (803) 733-5969 | Dr Wanda D Gibson, DDS 8063 Edmund Hwy, Eau Claire Cooperative Health Centers, Pelion, SC 29123-9805 Ph: (803) 894-3736 |
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