Quartivia Gibson, in Lafayette, LA - Medicare Nurse Practitioner

Quartivia Gibson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lafayette, Louisiana. Her current practice location is 202 General Gardner Ave, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 232-9457.

Quartivia Gibson is licensed to practice in Mississippi (license number 905847) 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 1003510181.

Contact Information

	Quartivia Gibson,
	202 General Gardner Ave, Lafayette, LA 70501-7824
	(337) 232-9457
	Not Available

Map and Direction

Provider's Profile

Full Name	Quartivia Gibson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	202 General Gardner Ave, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003510181
Provider Enumeration Date: 03/30/2023
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 0143689869
Enrollment ID: I20230628003844

Medical Identifiers

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

Identifier	Type	State	Issuer
1003510181	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	905847 (Mississippi)	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. Quartivia Gibson allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802

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. Quartivia 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
Quartivia Gibson, 5439 Burkhardt Rd, Dayton, OH 45431-2111 Ph: (601) 910-1168	Quartivia Gibson, 202 General Gardner Ave, Lafayette, LA 70501-7824 Ph: (337) 232-9457

Reviews and Comments

Nurse Practitioner Nurses in Lafayette, LA

Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000
Mandy Gayle Keown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 La Rue France, 201, Lafayette, LA 70508 Phone: 337-235-9355
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586

Quartivia Gibson, - Medicare Nurse Practitioner in Lafayette, LA