Kimberly A Gibson, is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" in Evansville, Indiana. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Marys Medical Group Llc and her current practice location is
3700 Washington Ave, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 485-7954.
Kimberly A Gibson is licensed to practice in Indiana (license number 71015106B) 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 1588487847.
Provider's Profile
| Full Name | Kimberly A Gibson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 3700 Washington Ave, Evansville, Indiana |
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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:
- Kimberly A Gibson graduated from nursing school in 2023
NPI Data:
- NPI Number: 1588487847
- Provider Enumeration Date: 11/05/2024
- Last Update Date: 01/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901716513
- Enrollment ID: I20250116003961
Medical Identifiers
Medical identifiers for Kimberly A Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588487847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | 71015106A (Indiana) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 71015106B (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Marys Medical Group Llc | 1153493341 | 219 |
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. Kimberly A Gibson allows following entities to bill medicare on her behalf.
| Entity Name | St Marys Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
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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. Kimberly A 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 |
Kimberly A Gibson, 3700 Washington Ave, Evansville, IN 47714-0541 Ph: (812) 485-7954 | Kimberly A Gibson, 3700 Washington Ave, Evansville, IN 47714-0541 Ph: (812) 485-7954 |
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