Pamela Gibson, CRNP in Collinsville, AL - Medicare Nurse Practitioner

Pamela Gibson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Collinsville, Alabama. Her current practice location is 52 S Valley Ave Ste B, Collinsville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 524-3090.

Pamela Gibson is licensed to practice in Alabama (license number 1-139230) 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 1902450281.

Contact Information

	Pamela Gibson, CRNP
	52 S Valley Ave Ste B, Collinsville, AL 35961-3263
	(256) 524-3090
	(256) 524-2885

Map and Direction

Provider's Profile

Full Name	Pamela Gibson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	52 S Valley Ave Ste B, Collinsville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902450281
Provider Enumeration Date: 07/25/2019
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 6305384363
Enrollment ID: I20240821002942

Medical Identifiers

Medical identifiers for Pamela Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902450281	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-139230 (Alabama)	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. Pamela Gibson allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639679962 PECOS PAC ID: 5395881841 Enrollment ID: O20200415001560

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. Pamela 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
Pamela Gibson, CRNP 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 Ph: (256) 524-3090	Pamela Gibson, CRNP 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 Ph: (256) 524-3090

Reviews and Comments

Nurse Practitioner Nurses in Collinsville, AL

Ms. Judith Womack Jones, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 S Valley Ave, Collinsville, AL 35961 Phone: 850-602-4277 Fax: 256-228-3506
Misty Sharp Ingram, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 S Valley Ave, Collinsville, AL 35961 Phone: 256-524-3090
Virginia Kathleen Rutledge, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 S Valley Ave Ste B, Collinsville, AL 35961 Phone: 256-524-3090 Fax: 256-524-2885
Dana Hall Siniard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 S Valley Ave Ste B, Collinsville, AL 35961 Phone: 256-524-3090
Mrs. Misty Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 S Valley Ave Ste B, Collinsville, AL 35961 Phone: 256-524-3090

Pamela Gibson, CRNP - Medicare Nurse Practitioner in Collinsville, AL