Heather Nicole Gibson, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Louisa, Kentucky. Her current practice location is
125 S Main Cross St, Louisa, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 638-0938.
Heather Nicole Gibson is licensed to practice in Kentucky (license number 253890) 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 1548706617.
Healthcare Provider's Profile
| Full Name | Heather Nicole Gibson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 125 S Main Cross St, Louisa, Kentucky |
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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: 1548706617
- Provider Enumeration Date: 01/13/2017
- Last Update Date: 04/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618498213
- Enrollment ID: I20250312001029
Medical Identifiers
Medical identifiers for Heather Nicole Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548706617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 164408 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 253890 (Kentucky) | 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. Heather Nicole Gibson allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Specialty Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20240921000535 |
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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. Heather Nicole 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 |
|---|
Heather Nicole Gibson, LCSW, LCADC
Po Box 726,
Louisa, KY 41230-0726
Ph: (606) 638-0938 | Heather Nicole Gibson, LCSW, LCADC
125 S Main Cross St,
Louisa, KY 41230-1065
Ph: (606) 638-0938 |
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