Larry Gibson, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Hixson, Tennessee. He went to Indiana Medical College, School Of Medicine Of Purdue University and graduated in 1982 and has 42 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Northgate Neurology, Pllc and his current practice location is
2051 Hamill Rd, Ste 301 B, Hixson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 877-1212.
Larry Gibson is licensed to practice in Tennessee (license number MD19747) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114013521.
Physician's Profile
| Full Name | Larry Gibson |
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| Gender | Male |
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| Speciality | Neurology |
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| Experience | 42 Years |
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| Location | 2051 Hamill Rd, Hixson, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Larry Gibson attended and graduated from Indiana Medical College, School Of Medicine Of Purdue University in 1982
NPI Data:
- NPI Number: 1114013521
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 09/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 5496774440
- Enrollment ID: I20051118000265
Medical Identifiers
Medical identifiers for Larry Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114013521 | NPI | - | NPPES |
| 3074845 | Other | TN | BLUECROSS BLUESHIELD |
| 3181502 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | MD19747 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northgate Neurology, Pllc | 6901997535 | 3 |
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. Larry Gibson allows following entities to bill medicare on his behalf.
| Entity Name | Northgate Neurology, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235355744
PECOS PAC ID: 6901997535
Enrollment ID: O20070810000171 |
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| Entity Name | Rtna, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871830380
PECOS PAC ID: 7911143128
Enrollment ID: O20130520000507 |
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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. Larry 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 |
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Larry Gibson, MD
2051 Hamill Rd Suite 302,
Hixson, TN 37343
Ph: (423) 877-1212 | Larry Gibson, MD
2051 Hamill Rd, Ste 301 B,
Hixson, TN 37343-6614
Ph: (423) 877-1212 |
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