Kentron Markese Gibson, DPT in Tupelo, MS - Medicare Physical Therapist Provider

Kentron Markese Gibson, DPT is a medicare enrolled "Physical Therapist" provider in Tupelo, Mississippi. His current practice location is 1211 S Gloster St Ste C, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 432-1523.

Kentron Markese Gibson is licensed to practice in Mississippi (license number 8067) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669266904.

Contact Information

	Kentron Markese Gibson, DPT
	1211 S Gloster St Ste C, Tupelo, MS 38801-6548
	(662) 432-1523
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kentron Markese Gibson
Gender	Male
Speciality	Physical Therapist
Location	1211 S Gloster St Ste C, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669266904
Provider Enumeration Date: 04/09/2025
Last Update Date: 08/11/2025

Medicare PECOS Information:

PECOS PAC ID: 7810413390
Enrollment ID: I20250428002876

Medical Identifiers

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

Identifier	Type	State	Issuer
1669266904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12002R (Louisiana)	Secondary
225100000X	Physical Therapist	8067 (Mississippi)	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. Kentron Markese Gibson allows following entities to bill medicare on his behalf.

Provider Name	Houma Orthopedic Clinic Amc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215940929 PECOS PAC ID: 4183683923 Enrollment ID: O20041007000010

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. Kentron Markese 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
Kentron Markese Gibson, DPT 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 Ph: (662) 432-1523	Kentron Markese Gibson, DPT 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 Ph: (662) 432-1523

Reviews and Comments

Physical Therapist in Tupelo, MS

Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1743 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-680-5216
Miranda P White, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523
Molly Bryan Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 154 Merritt Dr, Tupelo, MS 38801 Phone: 785-826-6134
Cayson Mcfadden Housley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3437 Tupelo Cmns Ste 102, Tupelo, MS 38804 Phone: 662-680-3200
John Everett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4058
Jennifer L Rodabough, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Southridge Dr, Tupelo, MS 38801 Phone: 662-407-0801 Fax: 662-407-0807
Lisa Ross, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100

Kentron Markese Gibson, DPT - Medicare Physical Therapist in Tupelo, MS