Tina Spivey Gibson, is a medicare enrolled "Marriage & Family Therapist" provider in Sevierville, Tennessee. Her current practice location is
1104 Foxwood Dr, Sevierville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 970-9800.
Tina Spivey Gibson is licensed to practice in * (Not Available) (license number ) 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 1508324948.
Healthcare Provider's Profile
Full Name | Tina Spivey Gibson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1104 Foxwood Dr, Sevierville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508324948
- Provider Enumeration Date: 03/05/2019
- Last Update Date: 11/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 2466897111
- Enrollment ID: I20240304002525
Medical Identifiers
Medical identifiers for Tina Spivey Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508324948 | NPI | - | NPPES |
Q053288 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | 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. Tina Spivey Gibson allows following entities to bill medicare on her behalf.
Entity Name | Parkwest Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423 |
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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. Tina Spivey 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 |
Tina Spivey Gibson, 1104 Foxwood Dr, Sevierville, TN 37862-6000 Ph: (865) 970-9800 | Tina Spivey Gibson, 1104 Foxwood Dr, Sevierville, TN 37862-6000 Ph: (865) 970-9800 |
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