Dr Shantrice Lashaun Gibson, PSYD in Nellis Afb, NV

Dr Shantrice Lashaun Gibson, PSYD is a medicare enrolled "Psychologist" provider in Nellis Afb, Nevada. Her current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 653-2273.

Dr Shantrice Lashaun Gibson is licensed to practice in Nebraska (license number 795) 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 1932362001.

Contact Information

	Dr Shantrice Lashaun Gibson, PSYD
	4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
	(702) 653-2273
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shantrice Lashaun Gibson
Gender	Female
Speciality	Psychologist
Location	4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932362001
Provider Enumeration Date: 07/08/2008
Last Update Date: 04/04/2023

Medicare PECOS Information:

PECOS PAC ID: 6800183328
Enrollment ID: I20160928000442

Medical Identifiers

Medical identifiers for Dr Shantrice Lashaun Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932362001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	795 (Nebraska)	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. Dr Shantrice Lashaun Gibson allows following entities to bill medicare on her behalf.

Entity Name	Alegent Creighton Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033288923 PECOS PAC ID: 1850285255 Enrollment ID: O20040326000802

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. Dr Shantrice Lashaun 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
Dr Shantrice Lashaun Gibson, PSYD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273	Dr Shantrice Lashaun Gibson, PSYD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273

Reviews and Comments

Psychologist in Nellis Afb, NV

Cynthia Schmidt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Attn: Credentials Office, Nellis Afb, NV 89191 Phone: 702-653-3067 Fax: 701-653-3398
Valerie Galante, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-404-1142
Lauren N Henry, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3880
Dr. Sara Kelly Flanagan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Dr. Daniel Marciel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Dr. Christian Pio Larco, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191 Phone: 702-679-9659
Dr. Darnell Rae Schuettler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-404-1142

Dr Shantrice Lashaun Gibson, PSYD - Medicare Psychologist in Nellis Afb, NV