Ms Lea Ann Gibson, LCSW in Ephraim, UT - Medicare Counselor Provider

Ms Lea Ann Gibson, LCSW is a medicare enrolled "Counselor" provider in Ephraim, Utah. Her current practice location is 390 W 100 N, Ephraim, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 283-4065.

Ms Lea Ann Gibson is licensed to practice in Utah (license number 70050273503) 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 1205126653.

Contact Information

	Ms Lea Ann Gibson, LCSW
	390 W 100 N, Ephraim, UT 84627-2131
	(435) 283-4065
	(435) 462-8407

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lea Ann Gibson
Gender	Female
Speciality	Counselor
Location	390 W 100 N, Ephraim, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205126653
Provider Enumeration Date: 04/19/2011
Last Update Date: 08/20/2025

Medicare PECOS Information:

PECOS PAC ID: 6204151269
Enrollment ID: I20150214000002

Medical Identifiers

Medical identifiers for Ms Lea Ann Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205126653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	70050273503 (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. Ms Lea Ann Gibson allows following entities to bill medicare on her behalf.

Entity Name	Central Utah Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639185424 PECOS PAC ID: 6305743618 Enrollment ID: O20031215000998

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. Ms Lea Ann 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
Ms Lea Ann Gibson, LCSW 152 N 400 W, Ephraim, UT 84627-5549 Ph: (435) 283-8400	Ms Lea Ann Gibson, LCSW 390 W 100 N, Ephraim, UT 84627-2131 Ph: (435) 283-4065

Reviews and Comments

Counselor in Ephraim, UT

Mr. Scott Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 N 161 W, Ephraim, UT 84627 Phone: 435-283-9934
Crystal Alvarez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 N 400 W, Ephraim, UT 84627 Phone: 435-283-8400 Fax: 435-283-8401
Jared Lynn Kummer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 N 400 W, Ephraim, UT 84627 Phone: 435-283-8400
Jolene Blackburn, CPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 W 100 N, Ephraim, UT 84627 Phone: 435-283-4065 Fax: 435-283-5387
Susan Diane Nielson, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 W 100 N, Ephraim, UT 84627 Phone: 435-283-4065 Fax: 435-283-5387
Nicole Lavonne Malstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 N 180 W, Ephraim, UT 84627 Phone: 435-283-9932 Fax: 435-283-4920
Jonatan Lopez Mancilla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 W 100 N, Ephraim, UT 84627 Phone: 435-283-4065 Fax: 435-283-8401

Ms Lea Ann Gibson, LCSW - Medicare Counselor in Ephraim, UT