William G Gibson Iv, FNP-C is a
Nurse Practitioner - Family based in Rush City, Minnesota. William G Gibson Iv is licensed to practice in Minnesota (license number 10136) and his current practice location is
460 S Eliot Ave, Rush City, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 358-0987.
NPI number for William G Gibson Iv is 1003218876 and his current mailing address is Po Box 370, Rush City, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003218876.
Provider's Profile
| Full Name | William G Gibson Iv |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 460 S Eliot Ave, Rush City, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003218876
- Provider Enumeration Date: 09/23/2014
- Last Update Date: 08/22/2023
Medical Identifiers
Medical identifiers for William G Gibson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003218876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 2512775 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | COA.17029-NP (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10136 (Minnesota) | Primary |
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. William G Gibson Iv is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
William G Gibson Iv, FNP-C
Po Box 370,
Rush City, MN 55069-0370
Ph: (320) 358-0987 | William G Gibson Iv, FNP-C
460 S Eliot Ave,
Rush City, MN 55069-6505
Ph: (320) 358-0987 |
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