Kermit Donald Gibson, DO is a medicare enrolled "General Practice" physician in Elkhorn City, Kentucky. His current practice location is
905 W Russell St, Elkhorn City, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 754-4158.
Kermit Donald Gibson is licensed to practice in Kentucky (license number 02080) 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 1083760649.
Physician's Profile
| Full Name | Kermit Donald Gibson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 905 W Russell St, Elkhorn City, Kentucky |
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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:
- Kermit Donald Gibson attended and graduated from in
NPI Data:
- NPI Number: 1083760649
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 09/26/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kermit Donald Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083760649 | NPI | - | NPPES |
| 64020803 | Medicaid | KY | |
| 112617 | Other | | FED BLACK LUNG |
| 1270152 | Other | | UMWA FUNDS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 02080 (Kentucky) | 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. Kermit Donald 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 |
|---|
Kermit Donald Gibson, DO
905 W Russell St, Box 896,
Elkhorn City, KY 41522-9032
Ph: (606) 754-4158 | Kermit Donald Gibson, DO
905 W Russell St,
Elkhorn City, KY 41522-7071
Ph: (606) 754-4158 |
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