Charlisa Deandra Gibson, MBBS in New York, NY

Charlisa Deandra Gibson, MBBS is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in New York, New York. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice New York University, University Of Maryland Community Medical Group Inc, Upmc Western Maryland Health Services Llc and her current practice location is 1000 10th Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 523-4000.

Charlisa Deandra Gibson is licensed to practice in New York (license number 284648) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205102753.

Contact Information

	Charlisa Deandra Gibson, MBBS
	1000 10th Ave, New York, NY 10019-1147
	(212) 523-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Charlisa Deandra Gibson
Gender	Female
Speciality	Pulmonary Disease
Experience	15 Years
Location	1000 10th Ave, New York, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlisa Deandra Gibson graduated from medical school in 2009

NPI Data:

NPI Number: 1205102753
Provider Enumeration Date: 03/29/2012
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 6204101876
Enrollment ID: I20171006002397

Medical Identifiers

Medical identifiers for Charlisa Deandra Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205102753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	284648 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	284648 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Md Baltimore Washington Medical Center	Glen burnie, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New York University	1355232422	4431
University Of Maryland Community Medical Group Inc	3678472214	351
Upmc Western Maryland Health Services Llc	7113396011	151

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. Charlisa Deandra Gibson allows following entities to bill medicare on her behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124550280 PECOS PAC ID: 2264691070 Enrollment ID: O20121227000330

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. Charlisa Deandra 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
Charlisa Deandra Gibson, MBBS 1000 10th Ave, New York, NY 10019-1147 Ph: (212) 523-4000	Charlisa Deandra Gibson, MBBS 1000 10th Ave, New York, NY 10019-1147 Ph: (212) 523-4000

Reviews and Comments

Internal Medicine Doctors in New York, NY

Dr. Ravishankar Ramaswamy, MD, MS Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1440 Madison Avenue, New York, NY 10029 Phone: 212-659-8552 Fax: 212-860-9737
Dr. Pietro Alessandro Ambrogio Canetta, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 622 W 168th St, Ph4-124, New York, NY 10032 Phone: 212-305-5020 Fax: 212-305-6692
Dr. Rakhshan Mahmood Chida, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 327 E 17th St, New York, NY 10003 Phone: 212-420-5690
Charles D Resor, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 622 W 168th St, New York, NY 10032 Phone: 212-305-2913
Dr. Jacqueline Yuey Lonier, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1150 Saint Nicholas Ave, New York, NY 10032 Phone: 212-851-5494
Dr. Sharon Uralil, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293
Diana Kantor, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 775 9th Ave, New York, NY 10019 Phone: 212-586-1550

Charlisa Deandra Gibson, MBBS - Medicare Pulmonary Disease in New York, NY