Kyle Gibson, is a medicare enrolled "Physician Assistant" in Fort Madison, Iowa. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southeast Iowa Regional Medical Center Inc and his current practice location is
5409 Avenue O, Fort Madison, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 376-1135.
Kyle Gibson is licensed to practice in Iowa (license number 087297) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679008635.
Provider's Profile
| Full Name | Kyle Gibson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 5409 Avenue O, Fort Madison, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kyle Gibson graduated from nursing school in 2017
NPI Data:
- NPI Number: 1679008635
- Provider Enumeration Date: 04/27/2017
- Last Update Date: 04/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 9638447766
- Enrollment ID: I20170614001603
Medical Identifiers
Medical identifiers for Kyle Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679008635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 087297 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Iowa Regional Medical Center Inc | 3870496417 | 202 |
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. Kyle 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 |
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Kyle Gibson,
10050 S Route N,
Columbia, MO 65203-8998
Ph: (573) 808-0722 | Kyle Gibson,
5409 Avenue O,
Fort Madison, IA 52627-9601
Ph: (319) 376-1135 |
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