Daniel Clin Gibson, is a medicare enrolled "Counselor - Mental Health" provider in Sunnyside, Utah. His current practice location is
331 E Highway 123, Sunnyside, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 888-4411.
Daniel Clin Gibson is licensed to practice in Utah (license number 11508443-6004) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508275470.
Healthcare Provider's Profile
| Full Name | Daniel Clin Gibson |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 331 E Highway 123, Sunnyside, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508275470
- Provider Enumeration Date: 08/05/2014
- Last Update Date: 04/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789020090
- Enrollment ID: I20240308002867
Medical Identifiers
Medical identifiers for Daniel Clin Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508275470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 11508443-6004 (Utah) | 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. Daniel Clin Gibson allows following entities to bill medicare on his behalf.
| Entity Name | Carbon Medical Service Association, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497717821
PECOS PAC ID: 4183535115
Enrollment ID: O20050606001229 |
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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. Daniel Clin 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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Daniel Clin Gibson,
Po Box 460,
Sunnyside, UT 84539-0460
Ph: (435) 888-4411 | Daniel Clin Gibson,
331 E Highway 123,
Sunnyside, UT 84539-7725
Ph: (435) 888-4411 |
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