Mr Michael L Gibson, FNP is a
Nurse Practitioner based in Hayfork, California. Mr Michael L Gibson is licensed to practice in California (license number 18917) and his current practice location is
6961 Highway 3, Hayfork, California. He can be reached at his office (for appointments etc.) via phone at
(530) 628-5517.
NPI number for Mr Michael L Gibson is 1376774034 and his current mailing address is Po Box 220, Hayfork, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376774034.
Provider's Profile
| Full Name | Mr Michael L Gibson |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
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| Location | 6961 Highway 3, Hayfork, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376774034
- Provider Enumeration Date: 07/29/2009
- Last Update Date: 07/29/2009
Medical Identifiers
Medical identifiers for Mr Michael L Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376774034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 18917 (California) | 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. Mr Michael L Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Michael L Gibson, FNP
Po Box 220,
Hayfork, CA 96041-0220
Ph: (530) 628-5517 | Mr Michael L Gibson, FNP
6961 Highway 3,
Hayfork, CA 96041-6961
Ph: (530) 628-5517 |
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