Theresa R Gibson, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Rogers City, Michigan. She graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Northeast Michigan Community Mental Health Authority and her current practice location is
156 S 3rd St, Rogers City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 255-3505.
Theresa R Gibson is licensed to practice in Michigan (license number 6801081687) 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 1942453519.
Healthcare Provider's Profile
| Full Name | Theresa R Gibson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 25 Years |
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| Location | 156 S 3rd St, Rogers City, Michigan |
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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. |
Medical Education and Training:
- Theresa R Gibson graduated from medical school in 2001
NPI Data:
- NPI Number: 1942453519
- Provider Enumeration Date: 10/28/2008
- Last Update Date: 12/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587725262
- Enrollment ID: I20081213000064
Medical Identifiers
Medical identifiers for Theresa R Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942453519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 6801081687 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Northeast Michigan Community Mental Health Authority | 2264498005 | 13 |
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. Theresa R Gibson allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Michigan Community Mental Health Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144378381 PECOS PAC ID: 2264498005 Enrollment ID: O20041203000522 |
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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. Theresa R 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 |
Theresa R Gibson, LMSW 156 S 3rd St, Rogers City, MI 49779-1710 Ph: (989) 255-3505 | Theresa R Gibson, LMSW 156 S 3rd St, Rogers City, MI 49779-1710 Ph: (989) 255-3505 |
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