Frederick Thomas Gibson, is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Jamaica Plain, Massachusetts. His current practice location is
1153 Centre St, Jamaica Plain, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 983-7000.
Frederick Thomas Gibson is licensed to practice in Massachusetts (license number 1023149) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629604483.
Physician's Profile
Full Name | Frederick Thomas Gibson |
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Gender | Male |
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Speciality | Dermatology - Procedural Dermatology |
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Location | 1153 Centre St, Jamaica Plain, Massachusetts |
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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: 1629604483
- Provider Enumeration Date: 03/12/2020
- Last Update Date: 04/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951779206
- Enrollment ID: I20250613002579
Medical Identifiers
Medical identifiers for Frederick Thomas Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629604483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 289211 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207NS0135X | Dermatology - Procedural Dermatology | 1023149 (Massachusetts) | Primary |
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. Frederick Thomas 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 |
Frederick Thomas Gibson, 60 Charlesgate W Apt 3a, Boston, MA 02215-2103 Ph: () - | Frederick Thomas Gibson, 1153 Centre St, Jamaica Plain, MA 02130-3446 Ph: (617) 983-7000 |
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