Marion Logan Gibbons, MD is a medicare enrolled "Pediatrics" physician in Chester, South Carolina. His current practice location is
1 Medical Park Drive, Building 3, Suite A, Chester, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 581-2400.
Marion Logan Gibbons is licensed to practice in South Carolina (license number 18478) 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 1003823931.
Physician's Profile
| Full Name | Marion Logan Gibbons |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1 Medical Park Drive, Chester, South Carolina |
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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: 1003823931
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 09/22/2009
Medicare PECOS Information:
- PECOS PAC ID: 2961455696
- Enrollment ID: I20050223000042
Medical Identifiers
Medical identifiers for Marion Logan Gibbons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003823931 | NPI | - | NPPES |
| 184785 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 18478 (South Carolina) | 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. Marion Logan Gibbons allows following entities to bill medicare on his behalf.
| Entity Name | Medical University Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
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| Entity Name | Carolina Family Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
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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. Marion Logan Gibbons 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 |
Marion Logan Gibbons, MD 1 Medical Park Drive, Building 3, Suite A, Chester, SC 29706-9769 Ph: (803) 581-2400 | Marion Logan Gibbons, MD 1 Medical Park Drive, Building 3, Suite A, Chester, SC 29706-9769 Ph: (803) 581-2400 |
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