Michael Gibson, DDS is a medicare enrolled "Dentist - General Practice" provider in Dorchester, Wisconsin. His current practice location is
424 E Center Avenue, Dorchester, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 654-5911.
Michael Gibson is licensed to practice in Wisconsin (license number 2855) 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 1114090131.
Healthcare Provider's Profile
Full Name | Michael Gibson |
---|
Gender | Male |
---|
Speciality | Dentist - General Practice |
---|
Location | 424 E Center Avenue, Dorchester, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114090131
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638498116
- Enrollment ID: I20151218000800
Medical Identifiers
Medical identifiers for Michael Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114090131 | NPI | - | NPPES |
33434800 | Medicaid | WI | |
3432 | Other | WI | FAMILY HEALTH CENTER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2855 (Wisconsin) | 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. Michael 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 |
Michael Gibson, DDS Po Box 236, Dorchester, WI 54425-0236 Ph: (715) 654-5911 | Michael Gibson, DDS 424 E Center Avenue, Dorchester, WI 54425-0236 Ph: (715) 654-5911 |
Reviews and Comments