Lacey Rae Gibson, CRNA in Tuba City, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Lacey Rae Gibson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tuba City, Arizona. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Tuba City Regional Health Care Corporation and her current practice location is 167 North Main Street, Tuba City, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 315-8661.

Lacey Rae Gibson is licensed to practice in Arizona (license number 227532) 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 1184287633.

Contact Information

	Lacey Rae Gibson, CRNA
	167 North Main Street, Tuba City, AZ 86045-1621
	(602) 315-8661
	Not Available

Map and Direction

Provider's Profile

Full Name	Lacey Rae Gibson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	167 North Main Street, Tuba City, Arizona
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:

Lacey Rae Gibson graduated from nursing school in 2019

NPI Data:

NPI Number: 1184287633
Provider Enumeration Date: 04/19/2019
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3072843671
Enrollment ID: I20190925000341

Medical Identifiers

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

Identifier	Type	State	Issuer
1184287633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN159748 (Arizona)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	227532 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tuba City Regional Health Care Corporation	Tuba city, AZ	Hospital

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. Lacey Rae Gibson allows following entities to bill medicare on her behalf.

Entity Name	Dec Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093006520 PECOS PAC ID: 9335319086 Enrollment ID: O20110907001087

Entity Name	Grand Canyon Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356822902 PECOS PAC ID: 3678824752 Enrollment ID: O20180928002378

Entity Name	Asap Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760082184 PECOS PAC ID: 7810301751 Enrollment ID: O20210204000266

Entity Name	Aurora Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861161572 PECOS PAC ID: 1658748207 Enrollment ID: O20221110001577

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. Lacey Rae 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
Lacey Rae Gibson, CRNA 167 North Main Street, Tuba City, AZ 86045-1621 Ph: (602) 315-8661	Lacey Rae Gibson, CRNA 167 North Main Street, Tuba City, AZ 86045-1621 Ph: (602) 315-8661

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tuba City, AZ

Arline C Winfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Mr. Mitchell H Bailey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Mr. Roy E Cooper Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Jennifer Laroche, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-3601 Fax: 928-283-2677
Matthew Alan Mcghee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501

Lacey Rae Gibson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tuba City, AZ