Mrs Mackenzie Gibbons, FNP in Somerville, TN - Medicare Nurse Practitioner

Mrs Mackenzie Gibbons, FNP is a medicare enrolled "Nurse Practitioner - Family" in Somerville, Tennessee. Her current practice location is 16532 Us Highway 64, Somerville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 813-8138.

Mrs Mackenzie Gibbons is licensed to practice in Tennessee (license number 26479) 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 1629629761.

Contact Information

	Mrs Mackenzie Gibbons, FNP
	16532 Us Highway 64, Somerville, TN 38068-6185
	(901) 813-8138
	(901) 813-8793

Map and Direction

Provider's Profile

Full Name	Mrs Mackenzie Gibbons
Gender	Female
Speciality	Nurse Practitioner - Family
Location	16532 Us Highway 64, Somerville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629629761
Provider Enumeration Date: 09/20/2019
Last Update Date: 11/18/2020

Medicare PECOS Information:

PECOS PAC ID: 3072940873
Enrollment ID: I20250409000961

Medical Identifiers

Medical identifiers for Mrs Mackenzie Gibbons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629629761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26479 (Tennessee)	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. Mrs Mackenzie Gibbons allows following entities to bill medicare on her behalf.

Entity Name	Desoto Family Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528150398 PECOS PAC ID: 2567470412 Enrollment ID: O20060404000200

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 Mackenzie Gibbons 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
Mrs Mackenzie Gibbons, FNP 16532 Us Highway 64, Somerville, TN 38068-6185 Ph: () -	Mrs Mackenzie Gibbons, FNP 16532 Us Highway 64, Somerville, TN 38068-6185 Ph: (901) 813-8138

Reviews and Comments

Nurse Practitioner Nurses in Somerville, TN

Mrs. Paula Lenore Walker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Woodbridge, Suite A, Somerville, TN 38068 Phone: 901-465-6353 Fax: 901-465-5948
Mrs. Pamela C Pierski, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17310 Hwy 64, Somerville, TN 38068 Phone: 901-465-2245 Fax: 901-465-8683
Elizabeth P Mcknight, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Woodbridge Rd Ste A, Somerville, TN 38068 Phone: 901-465-6353 Fax: 833-902-3599
Breianne M Chisholm, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1744 Us Highwa 64, Somerville, TN 38068 Phone: 731-609-8992
Michelle G Elrod, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Woodbridge Rd Ste A, Somerville, TN 38068 Phone: 901-465-6353 Fax: 833-902-3599
Jamey K Colston, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Woodbridge Rd, Somerville, TN 38068 Phone: 901-465-6353 Fax: 833-902-3599
Stephanie Denise Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 Lake Dr, Somerville, TN 38068 Phone: 731-394-1145

Mrs Mackenzie Gibbons, FNP - Medicare Nurse Practitioner in Somerville, TN