Mrs Jacqueline Gaillard Gibson, PA-C - Medicare Physician Assistant in Raleigh, NC

Mrs Jacqueline Gaillard Gibson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Raleigh, North Carolina. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice County Of Wake and her current practice location is 820 S Boylan Ave, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 733-0740.

Mrs Jacqueline Gaillard Gibson is licensed to practice in North Carolina (license number 103859) 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 1093721714.

Contact Information

Mrs Jacqueline Gaillard Gibson, PA-C
820 S Boylan Ave,
Raleigh, NC 27603-2246
(919) 733-0740
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacqueline Gaillard Gibson
GenderFemale
SpecialityPhysician Assistant
Experience21 Years
Location820 S Boylan Ave, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jacqueline Gaillard Gibson graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1093721714
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7810087079
  • Enrollment ID: I20071212000465

Medical Identifiers

Medical identifiers for Mrs Jacqueline Gaillard Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093721714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 103859 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Wake630575995213

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. Mrs Jacqueline Gaillard Gibson allows following entities to bill medicare on her behalf.
Entity NameCounty Of Wake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295761617
PECOS PAC ID: 6305759952
Enrollment ID: O20031110000389

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. Mrs Jacqueline Gaillard 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
Mrs Jacqueline Gaillard Gibson, PA-C
216 Wild Holly Ln,
Holly Springs, NC 27540-8654

Ph: (919) 557-6040
Mrs Jacqueline Gaillard Gibson, PA-C
820 S Boylan Ave,
Raleigh, NC 27603-2246

Ph: (919) 733-0740

Reviews and Comments


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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.