Colleen Gibson, APNP in Madison, WI - Medicare Nurse Practitioner

Colleen Gibson, APNP is a medicare enrolled "Nurse Practitioner" in Madison, Wisconsin. Her current practice location is 700 S Park St Ste A, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 260-2900.

Colleen Gibson is licensed to practice in Wisconsin (license number 15152) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659130888.

Contact Information

	Colleen Gibson, APNP
	700 S Park St Ste A, Madison, WI 53715-1830
	(608) 260-2900
	(608) 260-2976

Map and Direction

Provider's Profile

Full Name	Colleen Gibson
Gender	Female
Speciality	Nurse Practitioner
Location	700 S Park St Ste A, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659130888
Provider Enumeration Date: 03/18/2024
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9830539840
Enrollment ID: I20240424002229

Medical Identifiers

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

Identifier	Type	State	Issuer
1659130888	NPI	-	NPPES
1659130888	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	15152 (Wisconsin)	Primary
363LP2300X	Nurse Practitioner - Primary Care	1515233 (Wisconsin)	Secondary

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. Colleen Gibson allows following entities to bill medicare on her behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Colleen 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
Colleen Gibson, APNP 700 S Park St Ste A, Madison, WI 53715-1830 Ph: (608) 260-2900	Colleen Gibson, APNP 700 S Park St Ste A, Madison, WI 53715-1830 Ph: (608) 260-2900

Reviews and Comments

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Colleen Gibson, APNP - Medicare Nurse Practitioner in Madison, WI