Kelly Gibson, MPT in Pella, IA - Medicare Physical Therapist Provider

Kelly Gibson, MPT is a medicare enrolled "Physical Therapist" provider in Pella, Iowa. Her current practice location is 2525 Washington St, Pella, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 628-6728.

Kelly Gibson is licensed to practice in Iowa (license number 115408) 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 1023388444.

Contact Information

	Kelly Gibson, MPT
	2525 Washington St, Pella, IA 50219-1553
	(641) 628-6728
	(641) 628-6727

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Gibson
Gender	Female
Speciality	Physical Therapist
Location	2525 Washington St, Pella, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023388444
Provider Enumeration Date: 01/02/2012
Last Update Date: 03/08/2023

Medicare PECOS Information:

PECOS PAC ID: 5496128340
Enrollment ID: I20230224000406

Medical Identifiers

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

Identifier	Type	State	Issuer
1023388444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501011076 (Michigan)	Secondary
225100000X	Physical Therapist	7940 (Minnesota)	Secondary
225100000X	Physical Therapist	28290 (Florida)	Secondary
225100000X	Physical Therapist	115408 (Iowa)	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. Kelly Gibson allows following entities to bill medicare on her behalf.

Provider Name	Pella Regional Health Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053369405 PECOS PAC ID: 9931005873 Enrollment ID: O20031210000914

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. Kelly 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
Kelly Gibson, MPT 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5457	Kelly Gibson, MPT 2525 Washington St, Pella, IA 50219-1553 Ph: (641) 628-6728

Reviews and Comments

Physical Therapist in Pella, IA

Michelle Morgan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 Se 9th St, Pella, IA 50219 Phone: 641-621-0230 Fax: 641-621-0319
Vincent Van Haute, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2602 Fifield Rd, Pella, IA 50219 Phone: 641-458-6411
Pella Health & Fitness Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Fifield Rd, Pella, IA 50219 Phone: 641-621-1401 Fax: 614-628-7308
Elizabeth Audrey Vermeer, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-3832 Fax: 641-628-8894
Mark A Blankespoor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 Se 9th St, Pella, IA 50219 Phone: 641-621-0230 Fax: 641-621-0319
Mr. David K Carroll, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-6623 Fax: 641-621-2223

Kelly Gibson, MPT - Medicare Physical Therapist in Pella, IA