Devona J Gibbs, FNP in Poplar Bluff, MO - Medicare Nurse Practitioner

Devona J Gibbs, FNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Poplar Bluff, Missouri. Her current practice location is 196 Timber Ridge Trl, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 686-4133.

Devona J Gibbs is licensed to practice in Missouri (license number 064033) 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 1215915889.

Contact Information

	Devona J Gibbs, FNP
	196 Timber Ridge Trl, Poplar Bluff, MO 63901-1595
	(573) 686-4133
	(573) 778-1099

Map and Direction

Provider's Profile

Full Name	Devona J Gibbs
Gender	Female
Speciality	Nurse Practitioner - Critical Care Medicine
Location	196 Timber Ridge Trl, Poplar Bluff, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215915889
Provider Enumeration Date: 01/04/2006
Last Update Date: 08/25/2016

Medicare PECOS Information:

PECOS PAC ID: 7810186962
Enrollment ID: I20110105001002

Medical Identifiers

Medical identifiers for Devona J Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215915889	NPI	-	NPPES
428182034	Medicaid	MO
133802758	Medicaid	AR
500000980	Other		TRAVELERS MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	064033 (Missouri)	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. Devona J Gibbs allows following entities to bill medicare on her behalf.

Entity Name	Bhgxxix Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508277229 PECOS PAC ID: 0648589671 Enrollment ID: O20151014001334

Entity Name	Vcphcs Xv Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144666264 PECOS PAC ID: 4486963345 Enrollment ID: O20151016001032

Entity Name	Drd Management Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134380405 PECOS PAC ID: 1355651217 Enrollment ID: O20151211000057

Entity Name	Bhg Xliii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558805754 PECOS PAC ID: 0547694150 Enrollment ID: O20211122002288

Entity Name	Bhg Lxxiv Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982315230 PECOS PAC ID: 8527428861 Enrollment ID: O20230718001201

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. Devona J Gibbs 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
Devona J Gibbs, FNP 196 Timber Ridge Trl, Room 205, Poplar Bluff, MO 63901-1595 Ph: (573) 778-2888	Devona J Gibbs, FNP 196 Timber Ridge Trl, Poplar Bluff, MO 63901-1595 Ph: (573) 686-4133

Reviews and Comments

Nurse Practitioner Nurses in Poplar Bluff, MO

Jamie Lynn Morse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2588 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-1277 Fax: 573-778-1299
Alicia Marie Cisne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599
Jessica Nicole Mccain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-776-2835 Fax: 573-776-2763
Wanda R Shewmon, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2210 Barron Rd, Poplar Bluff, MO 63901 Phone: 573-686-4133 Fax: 573-686-1315
Ms. Jolene M Wolf, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4151
Rebecca Compton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599
Shelly Y Gresham, RNC-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2480 Three Rivers Blvd, Poplar Bluff, MO 63901 Phone: 573-686-5564 Fax: 573-686-2838

Devona J Gibbs, FNP - Medicare Nurse Practitioner in Poplar Bluff, MO