Dr Vienna L Gibson, DO is a medicare enrolled "Dermatology" physician in Murrells Inlet, South Carolina. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Seaside Dermatology Pa and her current practice location is
4017 Highway 17 # 200, Murrells Inlet, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 651-4600.
Dr Vienna L Gibson is licensed to practice in South Carolina (license number 36498) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306171582.
Physician's Profile
| Full Name | Dr Vienna L Gibson |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 15 Years |
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| Location | 4017 Highway 17 # 200, Murrells Inlet, South Carolina |
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| Accepts Medicare Assignments | Yes. She 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 Vienna L Gibson attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2009
NPI Data:
- NPI Number: 1306171582
- Provider Enumeration Date: 10/06/2009
- Last Update Date: 10/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 9133359862
- Enrollment ID: I20140721002171
Medical Identifiers
Medical identifiers for Dr Vienna L Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306171582 | NPI | - | NPPES |
| SC3276D652 | Other | SC | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 36498 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Seaside Dermatology Pa | 8224254644 | 3 |
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 Vienna L Gibson allows following entities to bill medicare on her behalf.
| Entity Name | Seaside Dermatology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376969428
PECOS PAC ID: 8224254644
Enrollment ID: O20140721002065 |
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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 Vienna L 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 |
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Dr Vienna L Gibson, DO
Po Box 691,
Murrells Inlet, SC 29576-0691
Ph: (843) 651-4600 | Dr Vienna L Gibson, DO
4017 Highway 17 # 200,
Murrells Inlet, SC 29576-5032
Ph: (843) 651-4600 |
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