Ernest Leonard Gibson, in Decatur, GA - Medicare Nurse Practitioner

Ernest Leonard Gibson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Decatur, Georgia. His current practice location is 2561 Captains Row, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 839-2886.

Ernest Leonard Gibson is licensed to practice in Georgia (license number RN207432) 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 1023766862.

Contact Information

	Ernest Leonard Gibson,
	2561 Captains Row, Decatur, GA 30035-3062
	(404) 839-2886
	Not Available

Map and Direction

Provider's Profile

Full Name	Ernest Leonard Gibson
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2561 Captains Row, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023766862
Provider Enumeration Date: 03/11/2022
Last Update Date: 03/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5294188546
Enrollment ID: I20240202000531

Medical Identifiers

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

Identifier	Type	State	Issuer
1023766862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN207432 (Georgia)	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. Ernest Leonard Gibson allows following entities to bill medicare on his behalf.

Entity Name	Uhs Of Anchor L.p.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952537920 PECOS PAC ID: 4486684784 Enrollment ID: O20050816001135

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. Ernest Leonard 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
Ernest Leonard Gibson, 2561 Captains Row, Decatur, GA 30035-3062 Ph: (404) 839-2886	Ernest Leonard Gibson, 2561 Captains Row, Decatur, GA 30035-3062 Ph: (404) 839-2886

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598

Ernest Leonard Gibson, - Medicare Nurse Practitioner in Decatur, GA