Kermit Donald Gibson, DO is a medicare enrolled "General Practice" physician in Elkhorn City, Kentucky. He went to West Virginia School Of Osteopathic Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as General Practice. 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 |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Experience | 44 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 West Virginia School Of Osteopathic Medicine in 1980
NPI Data:
- NPI Number: 1083760649
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 09/26/2012
Medicare PECOS Information:
- PECOS PAC ID: 7113828476
- Enrollment ID: I20040119000627
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 |
Medical Facilities Affiliation
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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