Carol Lacy Gibson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mclean, Virginia. Her current practice location is
1452 Chain Bridge Rd, Mclean, Virginia. You can reach out to her office (for appointments etc.) via phone at
(571) 239-2765.
Carol Lacy Gibson is licensed to practice in Virginia (license number 0024164967) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477833648.
Provider's Profile
Full Name | Carol Lacy Gibson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1452 Chain Bridge Rd, Mclean, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carol Lacy Gibson attended and graduated from in
NPI Data:
- NPI Number: 1477833648
- Provider Enumeration Date: 08/19/2011
- Last Update Date: 09/09/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carol Lacy Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477833648 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0024164967 (Virginia) | Primary |
363LF0000X | Nurse Practitioner - Family | RN62762 (District Of Columbia) | Secondary |
363LF0000X | Nurse Practitioner - Family | R154036 (Maryland) | Secondary |
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. Carol Lacy 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 |
Carol Lacy Gibson, FNP 1452 Chain Bridge Rd, Mc Lean, VA 22101-3706 Ph: (571) 239-2765 | Carol Lacy Gibson, FNP 1452 Chain Bridge Rd, Mclean, VA 22101 Ph: (571) 239-2765 |
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