Dr Grace Elaine Mcgibbon, MD - Medicare Ophthalmology in Suitland, MD

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Dr Grace Elaine Mcgibbon, MD is a medicare enrolled "Ophthalmology" physician in Suitland, Maryland. Her current practice location is 5100 Auth Way, Suitland, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 702-5292.

Dr Grace Elaine Mcgibbon is licensed to practice in Maryland (license number D63132) 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 1093876567.

Contact Information

Dr Grace Elaine Mcgibbon, MD
5100 Auth Way,
Suitland, MD 20746-4207
(301) 702-5292
(301) 702-5185

Map and Direction




Physician's Profile

Full NameDr Grace Elaine Mcgibbon
GenderFemale
SpecialityOphthalmology
Location5100 Auth Way, Suitland, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093876567
  • Provider Enumeration Date: 12/12/2006
  • Last Update Date: 06/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668440785
  • Enrollment ID: I20050811000090

Medical Identifiers

Medical identifiers for Dr Grace Elaine Mcgibbon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093876567NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology MD035488 (District Of Columbia)Secondary
207W00000XOphthalmology 0101238196 (Virginia)Secondary
207W00000XOphthalmology D63132 (Maryland)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. Dr Grace Elaine Mcgibbon allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1578638425
PECOS PAC ID: 3779495858
Enrollment ID: O20040805001280
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1073678637
PECOS PAC ID: 3779495858
Enrollment ID: O20100729000796
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1366781700
PECOS PAC ID: 3779495858
Enrollment ID: O20130507000207
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497023188
PECOS PAC ID: 3779495858
Enrollment ID: O20131029000108

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. Dr Grace Elaine Mcgibbon 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 AddressPractice Location Address
Dr Grace Elaine Mcgibbon, MD
2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West,
Rockville, MD 20852-4908

Ph: (301) 816-6660		Dr Grace Elaine Mcgibbon, MD
5100 Auth Way,
Suitland, MD 20746-4207

Ph: (301) 702-5292

Reviews and Comments


Ophthalmology Doctors in Suitland, MD

Dr. Padmaja Nootheti, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 5100 Auth Way, Suitland, MD 20746
Phone: 301-702-5169    Fax: 301-702-5121

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.