Madena Jane Gibson, MD is a
General Practice physician based in Raymond, Mississippi. Madena Jane Gibson is licensed to practice in Mississippi (license number 07981) and her current practice location is 1695 Moses Rd, Raymond, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 857-8638.
NPI number for Madena Jane Gibson is 1013431519 and her current mailing address is 1695 Moses Rd, Raymond, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013431519.
Physician's Profile
Full Name | Madena Jane Gibson |
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Gender | Female |
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Speciality | General Practice |
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Location | 1695 Moses Rd, Raymond, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013431519
- Provider Enumeration Date: 07/27/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Madena Jane Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013431519 | NPI | - | NPPES |
07981 | Other | MS | MS MEDICAL LICENSURE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 07981 (Mississippi) | 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. Madena Jane Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Madena Jane Gibson, MD 1695 Moses Rd, Raymond, MS 39154-8766 Ph: (601) 857-8638 | Madena Jane Gibson, MD 1695 Moses Rd, Raymond, MS 39154-8766 Ph: (601) 857-8638 |
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