Mary E Gibson, APN - Medicare Nurse Practitioner in Matteson, IL

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Mary E Gibson, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in Matteson, Illinois. Her current practice location is 4749 Lincoln Mall Dr Ste 204, Matteson, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 481-4200.

Mary E Gibson is licensed to practice in Illinois (license number 209-000390) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699714907.

Contact Information

Mary E Gibson, APN
4749 Lincoln Mall Dr Ste 204,
Matteson, IL 60443-3806
(708) 481-4200
(708) 481-3320

Map and Direction




Provider's Profile

Full NameMary E Gibson
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location4749 Lincoln Mall Dr Ste 204, Matteson, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699714907
  • Provider Enumeration Date: 06/05/2006
  • Last Update Date: 11/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5799746327
  • Enrollment ID: I20041026000719

Medical Identifiers

Medical identifiers for Mary E Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699714907NPI-NPPES
01619268OtherILBLUESHIELD NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209-000390 (Illinois)Secondary
363LA2200XNurse Practitioner - Adult Health 209-000390 (Illinois)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. Mary E Gibson allows following entities to bill medicare on her behalf.
Entity NameSunil K. Shah D.o, S.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184633356
PECOS PAC ID: 2163475484
Enrollment ID: O20050228000307

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. Mary E 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 AddressPractice Location Address
Mary E Gibson, APN
7804 W Golf Dr Apt 2b,
Palos Heights, IL 60463-3067

Ph: (708) 481-4200		Mary E Gibson, APN
4749 Lincoln Mall Dr Ste 204,
Matteson, IL 60443-3806

Ph: (708) 481-4200

Reviews and Comments


Nurse Practitioner Nurses in Matteson, IL

Dawyn Marie Jenkins,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 402 Town Center Rd, Matteson, IL 60443
Phone: 708-852-5179    Fax: 708-481-2010
Mrs. Ukachi O. Nwankpa, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1013 Warwick Dr, Matteson, IL 60443
Phone: 773-407-7814    Fax: 708-980-2953
Ann M Waldron, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20939 S Cicero Ave, Matteson, IL 60443
Phone: 708-679-2370    
Chanel Smith, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 205 Timberlane Rd, Matteson, IL 60443
Phone: 708-654-8999    
Carmella Jackson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 916 School Ave, Matteson, IL 60443
Phone: 773-941-1587    
Danebell O Ehis,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6006 Colgate Ln, Matteson, IL 60443
Phone: 708-323-7866    
Mrs. Nicole I O'grady, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 402 Town Center Rd # 500, Matteson, IL 60443
Phone: 779-236-4094    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.