Russell Wayne Gibson, MD in New York, NY

Russell Wayne Gibson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in New York, New York. His current practice location is 423 E 23rd St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 686-7500.

Russell Wayne Gibson is licensed to practice in New York (license number 228355) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083642789.

Contact Information

	Russell Wayne Gibson, MD
	423 E 23rd St, New York, NY 10010-5011
	(212) 686-7500
	Not Available

Map and Direction

Physician's Profile

Full Name	Russell Wayne Gibson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	423 E 23rd St, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083642789
Provider Enumeration Date: 06/29/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4284788548
Enrollment ID: I20090820000553

Medical Identifiers

Medical identifiers for Russell Wayne Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083642789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	228355 (New York)	Primary
2085R0202X	Radiology - Diagnostic Radiology	228355 (New York)	Primary

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. Russell Wayne Gibson allows following entities to bill medicare on his behalf.

Entity Name	Brooklyn Radiology Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699724260 PECOS PAC ID: 0345132551 Enrollment ID: O20040324001875

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. Russell Wayne 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
Russell Wayne Gibson, MD 245 E 21st St, #2b, New York, NY 10010-6410 Ph: () -	Russell Wayne Gibson, MD 423 E 23rd St, New York, NY 10010-5011 Ph: (212) 686-7500

Reviews and Comments

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Russell Wayne Gibson, MD - Medicare Radiology in New York, NY