Dr Kenneth Wayne Gibson, DO is a medicare enrolled "Family Medicine" physician in Hulbert, Oklahoma. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northeastern Oklahoma Community Health Centers, Inc and his current practice location is
124 E Main St, Hulbert, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 772-3390.
Dr Kenneth Wayne Gibson is licensed to practice in Oklahoma (license number 2170) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245241413.
Physician's Profile
| Full Name | Dr Kenneth Wayne Gibson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 43 Years |
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| Location | 124 E Main St, Hulbert, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenneth Wayne Gibson graduated from medical school in 1981
NPI Data:
- NPI Number: 1245241413
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 06/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 1557382223
- Enrollment ID: I20051208000901
Medical Identifiers
Medical identifiers for Dr Kenneth Wayne Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245241413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OS9095 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 2170 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northeastern Oklahoma Community Health Centers, Inc | 3678482635 | 27 |
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 Kenneth Wayne Gibson allows following entities to bill medicare on his behalf.
| Entity Name | Northeastern Oklahoma Community Health Centers, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518070481
PECOS PAC ID: 3678482635
Enrollment ID: O20031104000417 |
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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 Kenneth Wayne 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 Kenneth Wayne Gibson, DO
Po Box 751,
Hulbert, OK 74441-8902
Ph: (918) 772-3390 | Dr Kenneth Wayne Gibson, DO
124 E Main St,
Hulbert, OK 74441-8902
Ph: (918) 772-3390 |
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