Courtney Shae Gibson, NP in Round Rock, TX - Medicare Nurse Practitioner

Courtney Shae Gibson, NP is a medicare enrolled "Nurse Practitioner" in Round Rock, Texas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mary Hitchcock Memorial Hospital and her current practice location is 2410 Round Rock Ave Ste 150, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 341-8724.

Courtney Shae Gibson is licensed to practice in Texas (license number AP141935) 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 1689236077.

Contact Information

	Courtney Shae Gibson, NP
	2410 Round Rock Ave Ste 150, Round Rock, TX 78681-4019
	(512) 341-8724
	(512) 687-0295

Map and Direction

Provider's Profile

Full Name	Courtney Shae Gibson
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2410 Round Rock Ave Ste 150, Round Rock, Texas
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:

Courtney Shae Gibson graduated from nursing school in 2019

NPI Data:

NPI Number: 1689236077
Provider Enumeration Date: 07/05/2019
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1658607395
Enrollment ID: I20231012001802

Medical Identifiers

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

Identifier	Type	State	Issuer
1689236077	NPI	-	NPPES
401436703	Medicaid	TX
401436702	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	092344-23 (New Hampshire)	Secondary
363L00000X	Nurse Practitioner	AP141935 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Hitchcock Memorial Hospital	Lebanon, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mary Hitchcock Memorial Hospital	4486561164	964

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. Courtney Shae Gibson allows following entities to bill medicare on her behalf.

Entity Name	Mary Hitchcock Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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. Courtney Shae 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
Courtney Shae Gibson, NP Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000	Courtney Shae Gibson, NP 2410 Round Rock Ave Ste 150, Round Rock, TX 78681-4019 Ph: (512) 341-8724

Reviews and Comments

Nurse Practitioner Nurses in Round Rock, TX

Anu Sara Kurian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1903 Woodhaven Ct, Round Rock, TX 78665 Phone: 512-550-2010
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Arlene M Zwald, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-244-8480
Cheryl Bush, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 N A W Grimes Blvd Ste N103, Round Rock, TX 78665 Phone: 877-800-5722 Fax: 512-218-1249
Margaret O Egbonim, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4309 Greatview Dr, Round Rock, TX 78665 Phone: 803-460-2115
Deepa Gaba, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 N A W Grimes Blvd, Round Rock, TX 78665 Phone: 512-982-9929

Courtney Shae Gibson, NP - Medicare Nurse Practitioner in Round Rock, TX