Samantha Gibson, ARNP in Winter Haven, FL - Medicare Nurse Anesthetist, Certified Registered

Samantha Gibson, ARNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winter Haven, Florida. Her current practice location is 200 Avenue F Ne, Winter Haven, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 261-8186.

Samantha Gibson is licensed to practice in Florida (license number APRN9349998) 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 1447611835.

Contact Information

	Samantha Gibson, ARNP
	200 Avenue F Ne, Winter Haven, FL 33881-4131
	(321) 261-8186
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Gibson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	200 Avenue F Ne, Winter Haven, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447611835
Provider Enumeration Date: 03/11/2016
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 2062702137
Enrollment ID: I20160601001694

Medical Identifiers

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

Identifier	Type	State	Issuer
1447611835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP 9349998 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	ARNP9349998 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN9349998 (Florida)	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. Samantha Gibson allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Physician Solutions Of South Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665

Entity Name	Capital Anesthesia Solutions Of Florida,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750940532 PECOS PAC ID: 7214267053 Enrollment ID: O20190923000305

Entity Name	Capital Anesthesia Solutions Of Florida Ii, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165

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. Samantha 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
Samantha Gibson, ARNP 177 Copenhaver Ave Ne, Palm Bay, FL 32907-3154 Ph: (321) 261-8186	Samantha Gibson, ARNP 200 Avenue F Ne, Winter Haven, FL 33881-4131 Ph: (321) 261-8186

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Winter Haven, FL

Mrs. Amanda Hill Dillingham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121
Mr. Glenn A Hardesty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 383 Alpine Dr, Winter Haven, FL 33881 Phone: 863-221-3718
Henry Joseph Bohn, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121
Janet G Ergle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2400 Dundee Rd, Winter Haven, FL 33884 Phone: 863-293-8471 Fax: 866-665-2702
Mr. Senen Ojeda-lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 Fax: 844-876-0873
Mario De Jesus Torres, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121
Marva Louisville, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 Avenue B Nw, Winter Haven, FL 33881 Phone: 863-291-4000

Samantha Gibson, ARNP - Medicare Nurse Anesthetist, Certified Registered in Winter Haven, FL