Ishmael Gibson, in Bronx, NY - Medicare Physical Therapist Provider

Ishmael Gibson, is a medicare enrolled "Physical Therapist" provider in Bronx, New York. His current practice location is 815 Hutchinson River Pkwy, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 684-4433.

Ishmael Gibson is licensed to practice in New York (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053040345.

Contact Information

	Ishmael Gibson,
	815 Hutchinson River Pkwy, Bronx, NY 10465-1887
	(718) 684-4433
	(718) 684-4434

Map and Direction

Healthcare Provider's Profile

Full Name	Ishmael Gibson
Gender	Male
Speciality	Physical Therapist
Location	815 Hutchinson River Pkwy, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053040345
Provider Enumeration Date: 06/10/2022
Last Update Date: 06/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0446636922
Enrollment ID: I20221006002195

Medical Identifiers

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

Identifier	Type	State	Issuer
1053040345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(New York)	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. Ishmael Gibson allows following entities to bill medicare on his behalf.

Provider Name	Professional Occupational & Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715

Provider Name	Achieve At Home Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1932840188 PECOS PAC ID: 4789071903 Enrollment ID: O20220418001858

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. Ishmael 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
Ishmael Gibson, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859	Ishmael Gibson, 815 Hutchinson River Pkwy, Bronx, NY 10465-1887 Ph: (718) 684-4433

Reviews and Comments

Physical Therapist in Bronx, NY

Consolacion O Estrella Pt Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 787 Lydig Avenue, Bronx, NY 10462 Phone: 718-863-7774 Fax: 718-792-0288
Olga L. Villamil, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1578 Williamsbridge Rd, Suite 3d, Bronx, NY 10461 Phone: 718-863-3292 Fax: 718-863-3290
Rachel Friedlander, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4465 Douglas Ave, Apt 1h, Bronx, NY 10471 Phone: 718-704-9504 Fax: 646-441-4841
Optimal Rehabilitation Ot&pt Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 721 Melrose Ave, Bronx, NY 10455 Phone: 917-803-5276 Fax: 718-762-1510
Vikki Aminer Francis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1554 Astor Ave, Bronx, NY 10469 Phone: 718-652-3432 Fax: 718-652-5107
Uhlen Hopp Tuddao, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 75 E Gun Hill Rd, Bronx, NY 10467 Phone: 718-798-1000 Fax: 718-798-5522
Tanishea K Lewis, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 917-428-1944

Ishmael Gibson, - Medicare Physical Therapist in Bronx, NY