Siata Anica Gibson, NP-C - Medicare Nurse Practitioner in Temple Hills, MD

Siata Anica Gibson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Temple Hills, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emmanuel Brown, Md Pc and her current practice location is 4467 Old Branch Ave Ste 207, Temple Hills, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 630-3900.

Siata Anica Gibson is licensed to practice in Maryland (license number R175106) 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 1023598091.

Contact Information

Siata Anica Gibson, NP-C
4467 Old Branch Ave Ste 207,
Temple Hills, MD 20748-1854
(301) 630-3900
Not Available

Map and Direction




Provider's Profile

Full NameSiata Anica Gibson
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location4467 Old Branch Ave Ste 207, Temple Hills, Maryland
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:
  • Siata Anica Gibson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1023598091
  • Provider Enumeration Date: 08/18/2018
  • Last Update Date: 06/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799107538
  • Enrollment ID: I20200624000022

Medical Identifiers

Medical identifiers for Siata Anica Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023598091NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R175106 (Maryland)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. Siata Anica Gibson allows following entities to bill medicare on her behalf.
Entity NameEmmanuel Brown, Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245362276
PECOS PAC ID: 8325110588
Enrollment ID: O20080702000576
Entity NameEbrown-sgibson Np Pc Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841973831
PECOS PAC ID: 7719333939
Enrollment ID: O20231025000134

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. Siata Anica 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
Siata Anica Gibson, NP-C
9002 Early April Way,
Columbia, MD 21046-1473

Ph: (240) 277-7554
Siata Anica Gibson, NP-C
4467 Old Branch Ave Ste 207,
Temple Hills, MD 20748-1854

Ph: (301) 630-3900

Reviews and Comments


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Ms. Sharon C Smith, CRNP
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Uche Fabiku,
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Practice Location: 3611 Branch Ave Ste 404, Temple Hills, MD 20748
Phone: 301-633-2515    

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.