Lesia Darlene Gibson, FNP-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Bridgeport, West Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bridgeport Behavioral Clinic and her current practice location is
527 Medical Park Dr Ste 105, Bridgeport, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 933-3885.
Lesia Darlene Gibson is licensed to practice in West Virginia (license number APRN81798) 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 1275997686.
Provider's Profile
| Full Name | Lesia Darlene Gibson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 527 Medical Park Dr Ste 105, Bridgeport, West Virginia |
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| Accepts Medicare Assignments | Yes. She 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:
- Lesia Darlene Gibson graduated from nursing school in 2015
NPI Data:
- NPI Number: 1275997686
- Provider Enumeration Date: 04/12/2016
- Last Update Date: 04/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 8325339047
- Enrollment ID: I20180829000327
Medical Identifiers
Medical identifiers for Lesia Darlene Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275997686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | APRN81798 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bridgeport Behavioral Clinic | 3375534639 | 5 |
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. Lesia Darlene Gibson allows following entities to bill medicare on her behalf.
| Entity Name | United Hospital Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760965586
PECOS PAC ID: 8123936010
Enrollment ID: O20031212000802 |
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| Entity Name | Bridgeport Behavioral Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538388939
PECOS PAC ID: 3375534639
Enrollment ID: O20040524001209 |
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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. Lesia Darlene 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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Lesia Darlene Gibson, FNP-BC
527 Medical Park Dr Ste 105,
Bridgeport, WV 26330-9009
Ph: (304) 933-3885 | Lesia Darlene Gibson, FNP-BC
527 Medical Park Dr Ste 105,
Bridgeport, WV 26330-9009
Ph: (304) 933-3885 |
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