Logan Gibson, MD in Lone Tree, CO

Logan Gibson, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Lone Tree, Colorado. His current practice location is 10465 Park Meadows Dr, Lone Tree, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 790-1515.

Logan Gibson is licensed to practice in Colorado (license number DR.0066040) 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 1083009468.

Contact Information

	Logan Gibson, MD
	10465 Park Meadows Dr, Lone Tree, CO 80124-5319
	(303) 790-1515
	Not Available

Map and Direction

Physician's Profile

Full Name	Logan Gibson
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	10465 Park Meadows Dr, Lone Tree, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083009468
Provider Enumeration Date: 04/01/2015
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 8426438797
Enrollment ID: I20220704000248

Medical Identifiers

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

Identifier	Type	State	Issuer
1083009468	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0206X	Pediatrics - Pediatric Gastroenterology	DR.0066040 (Colorado)	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. Logan Gibson allows following entities to bill medicare on his behalf.

Entity Name	Obstetrix Medical Group Of Colorado Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497779276 PECOS PAC ID: 6709776651 Enrollment ID: O20040316001040

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. Logan 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
Logan Gibson, MD 6427 Oakbrook Dr, Ypsilanti, MI 48197-9494 Ph: (316) 304-2976	Logan Gibson, MD 10465 Park Meadows Dr, Lone Tree, CO 80124-5319 Ph: (303) 790-1515

Reviews and Comments

Pediatrics Doctors in Lone Tree, CO

Emily Jeanne Vangeti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248
Nancy Anne Taoka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248
Dr. Theodore Harry Stathos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9224 Teddy Lane, Suite 200, Lone Tree, CO 80124 Phone: 303-790-1515 Fax: 303-790-1989
Maren Boehnke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248
Robert A Kilpatrick, Pediatrics Medicare: Medicare Enrolled Practice Location: 10101 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 720-225-1000 Fax: 303-306-7753
Dr. Matthew J Hadeed, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248

Logan Gibson, MD - Medicare Pediatrics in Lone Tree, CO