Shirley K Gibson, MD is a medicare enrolled "Internal Medicine" physician in Albany, Kentucky. She went to University Of Kentucky College Of Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cumberland Family Medical Center, Inc.. and her current practice location is
606 Burkesville Rd, Albany, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 387-0675.
Shirley K Gibson is licensed to practice in Kentucky (license number 38599) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770509713.
Physician's Profile
| Full Name | Shirley K Gibson |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 606 Burkesville Rd, Albany, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shirley K Gibson attended and graduated from University Of Kentucky College Of Medicine in 2001
NPI Data:
- NPI Number: 1770509713
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 12/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214985274
- Enrollment ID: I20050106000115
Medical Identifiers
Medical identifiers for Shirley K Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770509713 | NPI | - | NPPES |
| 64103237 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 38599 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 38599 (Kentucky) | Secondary |
| 208M00000X | Hospitalist | 38599 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 38599 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cumberland Family Medical Center, Inc.. | 6305947789 | 105 |
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. Shirley K Gibson allows following entities to bill medicare on her behalf.
| Entity Name | Southeastern Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
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| Entity Name | Southeastern Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
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| Entity Name | Cumberland Family Medical Center, Inc.. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
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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. Shirley K 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 |
Shirley K Gibson, MD Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 864-1472 | Shirley K Gibson, MD 606 Burkesville Rd, Albany, KY 42602-1612 Ph: (606) 387-0675 |
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