Kacie Lynn Gibson, CRNP is a medicare enrolled "Nurse Practitioner" in Jersey Shore, Pennsylvania. Her current practice location is
1020 Thompson St, Jersey Shore, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 398-1991.
Kacie Lynn Gibson is licensed to practice in Pennsylvania (license number SP028013) 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 1679357297.
Provider's Profile
Full Name | Kacie Lynn Gibson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1020 Thompson St, Jersey Shore, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679357297
- Provider Enumeration Date: 08/23/2023
- Last Update Date: 12/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092161661
- Enrollment ID: I20231102002091
Medical Identifiers
Medical identifiers for Kacie Lynn Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679357297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | SP028013 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP028013 (Pennsylvania) | 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. Kacie Lynn Gibson allows following entities to bill medicare on her behalf.
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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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. Kacie Lynn 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 |
Kacie Lynn Gibson, CRNP 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Kacie Lynn Gibson, CRNP 1020 Thompson St, Jersey Shore, PA 17740-1729 Ph: (570) 398-1991 |
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