Dr William Thomas Gibson, NP, PHD is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Pullman, Washington. His current practice location is
1125 Se Washington St., Pullman, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 335-3575.
Dr William Thomas Gibson is licensed to practice in Washington (license number AP30005329) 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 1467408815.
Healthcare Provider's Profile
| Full Name | Dr William Thomas Gibson |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1125 Se Washington St., Pullman, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467408815
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820015290
- Enrollment ID: I20051026000277
Medical Identifiers
Medical identifiers for Dr William Thomas Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467408815 | NPI | - | NPPES |
| CNS-11A | Other | ID | IDAHO STATE LICENSE |
| RN00132277 | Other | WA | WA LICENSE |
| AP30005329 | Other | WA | WA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | AP30005329 (Washington) | Secondary |
| 103T00000X | Psychologist | PY12342713 (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PY00002713 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNS-11A (Idaho) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP30005329 (Washington) | 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 William Thomas Gibson allows following entities to bill medicare on his behalf.
| Entity Name | Public Hospital District No 3 Of Whitman County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922009448
PECOS PAC ID: 7719875020
Enrollment ID: O20040309000090 |
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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 William Thomas 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 William Thomas Gibson, NP, PHD
1125 Se Washington St.,
Pullman, WA 99111
Ph: (509) 335-3575 | Dr William Thomas Gibson, NP, PHD
1125 Se Washington St.,
Pullman, WA 99111
Ph: (509) 335-3575 |
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