Jordan Nelson Gibson, in Blacksburg, VA - Medicare Physical Therapy Provider

Jordan Nelson Gibson, is a medicare enrolled "Physical Therapist" provider in Blacksburg, Virginia. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Tidewater Physical Therapy Llc and his current practice location is 872 Prices Fork Rd, Blacksburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 739-2161.

Jordan Nelson Gibson is licensed to practice in Virginia (license number 2305211906) 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 1053802207.

Contact Information

	Jordan Nelson Gibson,
	872 Prices Fork Rd, Blacksburg, VA 24060-3229
	(540) 739-2161
	(540) 739-7477

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Nelson Gibson
Gender	Male
Speciality	Physical Therapy
Experience	6 Years
Location	872 Prices Fork Rd, Blacksburg, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan Nelson Gibson graduated from medical school in 2018

NPI Data:

NPI Number: 1053802207
Provider Enumeration Date: 05/23/2018
Last Update Date: 11/11/2020

Medicare PECOS Information:

PECOS PAC ID: 4789912619
Enrollment ID: I20190829003413

Medical Identifiers

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

Identifier	Type	State	Issuer
1053802207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305211906 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tidewater Physical Therapy Llc	6406759281	188

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. Jordan Nelson Gibson allows following entities to bill medicare on his behalf.

Provider Name	Tidewater Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029

Provider Name	Sideline Orthopedics And Sports Medicine Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841649068 PECOS PAC ID: 3072801612 Enrollment ID: O20161013001342

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. Jordan Nelson 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
Jordan Nelson Gibson, 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714	Jordan Nelson Gibson, 872 Prices Fork Rd, Blacksburg, VA 24060-3229 Ph: (540) 739-2161

Reviews and Comments

Physical Therapist in Blacksburg, VA

Jane Everett Vitak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1995 S Main St Ste 801, Blacksburg, VA 24060 Phone: 540-951-2703
Sarah Kosik, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2387 Warm Hearth Dr, Blacksburg, VA 24060 Phone: 540-443-3437
Dr. Casey Alyson Foley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 825 Davis St Ste B, Blacksburg, VA 24060 Phone: 540-552-5100 Fax: 540-552-5700
Michael A Tatman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1995 S Main St Ste 801, Blacksburg, VA 24060 Phone: 540-951-2703 Fax: 540-953-0873
Mrs. Cynthia Leigh Henderson, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1995 S Main St, Suite 801, Blacksburg, VA 24060 Phone: 540-951-2703 Fax: 540-953-0873
Miracle Halei Barnes, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 757 University Blvd, Blacksburg, VA 24060 Phone: 540-585-4841

Jordan Nelson Gibson, - Medicare Physical Therapist in Blacksburg, VA