Kyle Gibson, MD in Philadelphia, PA

Kyle Gibson, MD is a medicare enrolled "Hospitalist" physician in Philadelphia, Pennsylvania. His current practice location is 3400 Spruce St, 5 Maloney, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-3797.

Kyle Gibson is licensed to practice in Pennsylvania (license number MD455017) 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 1942591391.

Contact Information

	Kyle Gibson, MD
	3400 Spruce St, 5 Maloney, Philadelphia, PA 19104-4238
	(215) 662-3797
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyle Gibson
Gender	Male
Speciality	Hospitalist
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942591391
Provider Enumeration Date: 04/20/2011
Last Update Date: 09/10/2019

Medicare PECOS Information:

PECOS PAC ID: 5395068217
Enrollment ID: I20160525002205

Medical Identifiers

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

Identifier	Type	State	Issuer
1942591391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	MD455017 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Kyle Gibson allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053447151 PECOS PAC ID: 6204730955 Enrollment ID: O20150304001436

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. Kyle 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
Kyle Gibson, MD 3400 Spruce St, 5 Maloney, Philadelphia, PA 19104-4238 Ph: (215) 662-3797	Kyle Gibson, MD 3400 Spruce St, 5 Maloney, Philadelphia, PA 19104-4238 Ph: (215) 662-3797

Reviews and Comments

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Kyle Gibson, MD - Medicare Hospitalist in Philadelphia, PA