Michael Spencer Gibson, MD in San Diego, CA - Medicare Diagnostic Radiology

Michael Spencer Gibson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Diego, California. He went to University Of Virginia School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Providence Medical Foundation and his current practice location is 4060 Fairmount Ave Ste 120, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 269-1299.

Michael Spencer Gibson is licensed to practice in California (license number C54766) 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 1447246640.

Contact Information

	Michael Spencer Gibson, MD
	4060 Fairmount Ave Ste 120, San Diego, CA 92105-1608
	(619) 269-1299
	(619) 961-0812

Map and Direction

Physician's Profile

Full Name	Michael Spencer Gibson
Gender	Male
Speciality	Diagnostic Radiology
Experience	28 Years
Location	4060 Fairmount Ave Ste 120, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Spencer Gibson attended and graduated from University Of Virginia School Of Medicine in 1997

NPI Data:

NPI Number: 1447246640
Provider Enumeration Date: 09/22/2005
Last Update Date: 11/14/2022

Medicare PECOS Information:

PECOS PAC ID: 4385646074
Enrollment ID: I20120607000218

Medical Identifiers

Medical identifiers for Michael Spencer Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447246640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	D54010 (Maryland)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	C54766 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Michael Spencer Gibson allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	La Maestra Family Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901

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. Michael Spencer 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
Michael Spencer Gibson, MD 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 997-4859	Michael Spencer Gibson, MD 4060 Fairmount Ave Ste 120, San Diego, CA 92105-1608 Ph: (619) 269-1299

Reviews and Comments

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Michael Spencer Gibson, MD - Medicare Diagnostic Radiology in San Diego, CA