Shamara Gibson, LCSW in Jacksonville, FL - Medicare Clinical Social Worker Provider

Shamara Gibson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Florida. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Maras Lighthouse Counseling Center Llc and her current practice location is 921 N Davis St, Building B, Suite 315, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 359-3857.

Shamara Gibson is licensed to practice in Florida (license number SW12874) 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 1598140733.

Contact Information

	Shamara Gibson, LCSW
	921 N Davis St, Building B, Suite 315, Jacksonville, FL 32209-6804
	(904) 359-3857
	(904) 359-2503

Map and Direction

Healthcare Provider's Profile

Full Name	Shamara Gibson
Gender	Female
Speciality	Clinical Social Worker
Experience	14 Years
Location	921 N Davis St, Jacksonville, Florida
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:

Shamara Gibson graduated from medical school in 2011

NPI Data:

NPI Number: 1598140733
Provider Enumeration Date: 07/29/2015
Last Update Date: 07/29/2015

Medicare PECOS Information:

PECOS PAC ID: 2668815119
Enrollment ID: I20240212002671

Medical Identifiers

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

Identifier	Type	State	Issuer
1598140733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW12874 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Maras Lighthouse Counseling Center Llc	1759724206	2

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. Shamara Gibson allows following entities to bill medicare on her behalf.

Entity Name	Maras Lighthouse Counseling Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407478613 PECOS PAC ID: 1759724206 Enrollment ID: O20240212002491

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. Shamara 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
Shamara Gibson, LCSW 921 N Davis St, Building B, Suite 315, Jacksonville, FL 32209-6804 Ph: (904) 359-3857	Shamara Gibson, LCSW 921 N Davis St, Building B, Suite 315, Jacksonville, FL 32209-6804 Ph: (904) 359-3857

Reviews and Comments

Social Worker in Jacksonville, FL

Mrs. Amanda Kay Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5776 Saint Augustine Rd, Jacksonville, FL 32207 Phone: 904-448-4700
Carol Lynne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Valley Garden Dr, Jacksonville, FL 32225 Phone: 904-673-8237
Ms. Latisha M Hill, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4720 Salisbury Rd, Jacksonville, FL 32256 Phone: 904-493-6190
Susan Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225 Phone: 904-565-1271 Fax: 904-645-7325
Sarah Johanna Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr Ste 510, Jacksonville, FL 32207 Phone: 904-376-3800
Kallyn Richardson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11478 Harlan Dr, Jacksonville, FL 32218 Phone: 734-834-0459
Maria Susan Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Edgewood Ave W, Jacksonville, FL 32208 Phone: 904-301-4900 Fax: 904-924-1773

Shamara Gibson, LCSW - Medicare Clinical Social Worker in Jacksonville, FL