Charlisa Deandra Gibson, MBBS in Glen Burnie, MD

Charlisa Deandra Gibson, MBBS is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Glen Burnie, Maryland. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice New York University, University Of Maryland Community Medical Group Inc and her current practice location is 255 Hospital Dr Fl 3, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 553-8240.

Charlisa Deandra Gibson is licensed to practice in New York (license number 284648) 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 1205102753.

Contact Information

	Charlisa Deandra Gibson, MBBS
	255 Hospital Dr Fl 3, Glen Burnie, MD 21061-6356
	(410) 553-8240
	(410) 553-8239

Map and Direction

Physician's Profile

Full Name	Charlisa Deandra Gibson
Gender	Female
Speciality	Pulmonary Disease
Experience	17 Years
Location	255 Hospital Dr Fl 3, Glen Burnie, Maryland
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:

Charlisa Deandra Gibson graduated from medical school in 2009

NPI Data:

NPI Number: 1205102753
Provider Enumeration Date: 03/29/2012
Last Update Date: 12/16/2025

Medicare PECOS Information:

PECOS PAC ID: 6204101876
Enrollment ID: I20171006002397

Medical Identifiers

Medical identifiers for Charlisa Deandra Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205102753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	D0090376 (Maryland)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	284648 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Md Baltimore Washington Medical Center	Glen burnie, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New York University	1355232422	5027
University Of Maryland Community Medical Group Inc	3678472214	394

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. Charlisa Deandra Gibson allows following entities to bill medicare on her behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124550280 PECOS PAC ID: 2264691070 Enrollment ID: O20121227000330

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. Charlisa Deandra 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
Charlisa Deandra Gibson, MBBS 255 Hospital Dr Fl 3, Glen Burnie, MD 21061-6356 Ph: (410) 553-8240	Charlisa Deandra Gibson, MBBS 255 Hospital Dr Fl 3, Glen Burnie, MD 21061-6356 Ph: (410) 553-8240

Reviews and Comments

Internal Medicine Doctors in Glen Burnie, MD

Mrs. Salvacion Dupaya Ramirez, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 7845 Oakwood Rd, Ste 307, Glen Burnie, MD 21061 Phone: 410-760-4888 Fax: 410-760-1870
Anuradha Boddeti, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6934 Aviation Blvd Ste F, Glen Burnie, MD 21061 Phone: 410-760-3588 Fax: 410-760-3604
Dr. Gurmeet Singh Sawhney, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Hospital Dr, 202, Glen Burnie, MD 21061 Phone: 410-766-7616 Fax: 410-766-3092
Mirza M. Nusairee, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Madison Park Dr, Suite #100, Glen Burnie, MD 21061 Phone: 410-766-4747 Fax: 410-766-4855
Ijemma Chinomnso Cunningham, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 6934 Aviation Blvd Ste F, Glen Burnie, MD 21061 Phone: 410-760-3588 Fax: 410-760-3604
Dr. Deep H Dalal, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1406b Crain Hwy S, Suite 207, Glen Burnie, MD 21061 Phone: 410-590-4730 Fax: 410-590-4737
Sridhar Atluri, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7310 Ritchie Hwy, Suite 800, Glen Burnie, MD 21061 Phone: 410-768-3936 Fax: 410-766-6683

Charlisa Deandra Gibson, MBBS - Medicare Pulmonary Disease in Glen Burnie, MD