Andrea B Gibson, SLP in Maynardville, TN - Medicare Speech-Language Pathologist Provider

Andrea B Gibson, SLP is a medicare enrolled "Speech-language Pathologist" provider in Maynardville, Tennessee. Her current practice location is 3925 Maynardville Hwy Ste 1, Maynardville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 333-4673.

Andrea B Gibson is licensed to practice in Tennessee (license number 7017) 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 1740886514.

Contact Information

	Andrea B Gibson, SLP
	3925 Maynardville Hwy Ste 1, Maynardville, TN 37807-3552
	(865) 333-4673
	(865) 951-7281

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea B Gibson
Gender	Female
Speciality	Speech-language Pathologist
Location	3925 Maynardville Hwy Ste 1, Maynardville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740886514
Provider Enumeration Date: 12/08/2020
Last Update Date: 12/08/2020

Medicare PECOS Information:

PECOS PAC ID: 2769895945
Enrollment ID: I20210107000830

Medical Identifiers

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

Identifier	Type	State	Issuer
1740886514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7017 (Tennessee)	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. Andrea B Gibson allows following entities to bill medicare on her behalf.

Provider Name	Mission Hope Pediatric Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013553304 PECOS PAC ID: 3779919048 Enrollment ID: O20200204002741

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. Andrea B 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
Andrea B Gibson, SLP 185 Yorkshire Dr, Harrogate, TN 37752-3738 Ph: (865) 333-4673	Andrea B Gibson, SLP 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807-3552 Ph: (865) 333-4673

Reviews and Comments

Speech-Language Pathologist in Maynardville, TN

Mission Hope Pediatric Therapy Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-585-1307
Brittany Mclain Buckner, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-745-9007
Abigail Grace Norman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-333-4673
Charity V Shipley, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-333-4673 Fax: 865-951-7281
Anwyn Marie Eydt-beebe, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-333-4673
Ms. Alesia Renee Spain, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 Richardson Way, Maynardville, TN 37807 Phone: 865-992-9394
Olivia Jane Helton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Maynardville Hwy, Maynardville, TN 37807 Phone: 865-333-4673

Andrea B Gibson, SLP - Medicare Speech-Language Pathologist in Maynardville, TN