Jeanette M Gibson, LCSW in San Jose, CA - Medicare Social Worker Provider

Jeanette M Gibson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. Her current practice location is 570 Blossom Hill Rd, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (855) 799-4647.

Jeanette M Gibson is licensed to practice in California (license number 101081) 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 1073233714.

Contact Information

	Jeanette M Gibson, LCSW
	570 Blossom Hill Rd, San Jose, CA 95123-3212
	(855) 799-4647
	(669) 223-8255

Map and Direction

Healthcare Provider's Profile

Full Name	Jeanette M Gibson
Gender	Female
Speciality	Social Worker - Clinical
Location	570 Blossom Hill Rd, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073233714
Provider Enumeration Date: 09/01/2022
Last Update Date: 10/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3274918024
Enrollment ID: I20220915001630

Medical Identifiers

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

Identifier	Type	State	Issuer
1073233714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	101081 (California)	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. Jeanette M Gibson allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Spread Your Wings For Mental Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760969539 PECOS PAC ID: 1355680273 Enrollment ID: O20190311001711

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. Jeanette M 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
Jeanette M Gibson, LCSW Po Box 888, Tracy, CA 95378-0888 Ph: (209) 650-0896	Jeanette M Gibson, LCSW 570 Blossom Hill Rd, San Jose, CA 95123-3212 Ph: (855) 799-4647

Reviews and Comments

Social Worker in San Jose, CA

Rajbir Sanchez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 840 Guadalupe Pkwy Rm 238, San Jose, CA 95110 Phone: 408-299-3166 Fax: 408-971-2651
Lashonda Renea Eagels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3235 Union Ave, San Jose, CA 95124 Phone: 408-371-0960
Ritha Canales Rossi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 614 Tully Rd, San Jose, CA 95111 Phone: 408-494-1561 Fax: 408-292-3640
Lynda M Washington, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 160 E Virginia St, #280, San Jose, CA 95112 Phone: 408-287-6200 Fax: 408-998-1535
Mr. Darren Folk, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2625 Zanker Rd Ste 101, San Jose, CA 95134 Phone: 408-309-3917
Kevin Cheng, ASW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2001 The Alameda, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-642-6052
Meyerlyn Sanchez, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1671 The Alameda Ste 306, San Jose, CA 95126 Phone: 408-828-2490 Fax: 408-320-4252

Jeanette M Gibson, LCSW - Medicare Clinical Social Worker in San Jose, CA