Michael J Gibson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Holdenville, Oklahoma. His current practice location is
100 Mcdougal Dr, Holdenville, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 379-4202.
Michael J Gibson is licensed to practice in Oklahoma (license number 199) 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 1487681201.
Provider's Profile
| Full Name | Michael J Gibson |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 100 Mcdougal Dr, Holdenville, Oklahoma |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487681201
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 10/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 1355338344
- Enrollment ID: I20040430000124
Medical Identifiers
Medical identifiers for Michael J Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487681201 | NPI | - | NPPES |
| 0784740001 | Other | | DMERC REGION C |
| 100848080A | Medicaid | OK | |
| P00266954 | Other | | PALMETTO GBA RAILROAD MC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 199 (Oklahoma) | Primary |
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. Michael J 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 |
Michael J Gibson, PA-C 100 Mcdougal Dr, Holdenville, OK 74848-2822 Ph: (405) 379-4202 | Michael J Gibson, PA-C 100 Mcdougal Dr, Holdenville, OK 74848-2822 Ph: (405) 379-4202 |
Reviews and Comments