Samantha Olive Gibbard, DPT in Cheyenne, WY - Medicare Physical Therapist Provider

Samantha Olive Gibbard, DPT is a medicare enrolled "Physical Therapist" provider in Cheyenne, Wyoming. Her current practice location is 5307 Yellowstone Rd, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 632-7677.

Samantha Olive Gibbard is licensed to practice in Wyoming (license number 2170) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457090516.

Contact Information

	Samantha Olive Gibbard, DPT
	5307 Yellowstone Rd, Cheyenne, WY 82009-4736
	(307) 632-7677
	(307) 778-8292

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Olive Gibbard
Gender	Female
Speciality	Physical Therapist
Location	5307 Yellowstone Rd, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457090516
Provider Enumeration Date: 05/27/2022
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9234512559
Enrollment ID: I20220819001048

Medical Identifiers

Medical identifiers for Samantha Olive Gibbard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457090516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2170 (Wyoming)	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. Samantha Olive Gibbard allows following entities to bill medicare on her behalf.

Provider Name	Smart Sports Medicine Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114408739 PECOS PAC ID: 5597002857 Enrollment ID: O20190124000222

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. Samantha Olive Gibbard 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
Samantha Olive Gibbard, DPT 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 Ph: (307) 632-7677	Samantha Olive Gibbard, DPT 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 Ph: (307) 632-7677

Reviews and Comments

Physical Therapist in Cheyenne, WY

Bluegrass Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009 Phone: 307-634-2626 Fax: 307-634-5099
Mrs. Linda Rc Froelicher, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4000 Central Ave, Suite #3, Cheyenne, WY 82001 Phone: 307-634-0298 Fax: 307-634-0837
Nicholas Robert Johnson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Converse Ave Ste B, Cheyenne, WY 82001 Phone: 307-514-2411 Fax: 307-514-2392
Byron Louis Long, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009 Phone: 307-634-2626 Fax: 307-634-5099
Mr. Thomas James Bledsoe, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4017 Rawlins St, Cheyenne, WY 82001 Phone: 307-635-2562
Sandra Champlin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1951 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-773-8533 Fax: 307-635-7578
Dr. Charlene Marie Sheamansmith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4515 E Pershing Blvd Unit C, Cheyenne, WY 82001 Phone: 307-635-2388 Fax: 307-635-1730

Samantha Olive Gibbard, DPT - Medicare Physical Therapist in Cheyenne, WY