Dr Kaitlyn Renae Gibson, OD is a medicare enrolled "Optometrist" provider in Cedar Lake, Indiana. She went to Illinois College Of Optometry At Chicago and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Illiana Eyecare Inc and her current practice location is
13115 Wicker Ave Ste E, Cedar Lake, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 374-7800.
Dr Kaitlyn Renae Gibson is licensed to practice in Indiana (license number 18004243A) 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 1992319719.
Healthcare Provider's Profile
| Full Name | Dr Kaitlyn Renae Gibson |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 4 Years |
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| Location | 13115 Wicker Ave Ste E, Cedar Lake, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kaitlyn Renae Gibson attended and graduated from Illinois College Of Optometry At Chicago in 2020
NPI Data:
- NPI Number: 1992319719
- Provider Enumeration Date: 08/31/2020
- Last Update Date: 08/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365852464
- Enrollment ID: I20201030001346
Medical Identifiers
Medical identifiers for Dr Kaitlyn Renae Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992319719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 18004243A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Illiana Eyecare Inc | 9133223373 | 3 |
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. Dr Kaitlyn Renae Gibson allows following entities to bill medicare on her behalf.
| Provider Name | Illiana Eyecare Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1215040142
PECOS PAC ID: 9133223373
Enrollment ID: O20070328000572 |
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| Provider Name | Region Eye Care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1043717945
PECOS PAC ID: 0648521203
Enrollment ID: O20180920000577 |
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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. Dr Kaitlyn Renae 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 |
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Dr Kaitlyn Renae Gibson, OD
13115 Wicker Ave Ste E,
Cedar Lake, IN 46303-7400
Ph: (219) 374-7800 | Dr Kaitlyn Renae Gibson, OD
13115 Wicker Ave Ste E,
Cedar Lake, IN 46303-7400
Ph: (219) 374-7800 |
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