Dr Carolyn Celeste Gibson, OD is a medicare enrolled "Optometrist" provider in Du Quoin, Illinois. She went to University Of Missouri St Louis - School Of Optometry and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Southern Illinois Eyecare, Pc and her current practice location is
630 S Washington St, Du Quoin, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 542-6677.
Dr Carolyn Celeste Gibson is licensed to practice in Illinois (license number ) 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 1255313912.
Healthcare Provider's Profile
| Full Name | Dr Carolyn Celeste Gibson |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 29 Years |
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| Location | 630 S Washington St, Du Quoin, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carolyn Celeste Gibson attended and graduated from University Of Missouri St Louis - School Of Optometry in 1995
NPI Data:
- NPI Number: 1255313912
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 02/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 7214975606
- Enrollment ID: I20050418000342
Medical Identifiers
Medical identifiers for Dr Carolyn Celeste Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255313912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Illinois Eyecare, Pc | 8729036983 | 3 |
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 Carolyn Celeste Gibson allows following entities to bill medicare on her behalf.
| Provider Name | Southern Illinois Eyecare, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902951536
PECOS PAC ID: 8729036983
Enrollment ID: O20050105000352 |
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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 Carolyn Celeste 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 |
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Dr Carolyn Celeste Gibson, OD
630 S Washington St,
Du Quoin, IL 62832-1906
Ph: (618) 542-6677 | Dr Carolyn Celeste Gibson, OD
630 S Washington St,
Du Quoin, IL 62832-1906
Ph: (618) 542-6677 |
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