Samuel Marlin Gibson, PT is a medicare enrolled "Physical Therapist" provider in Gunter, Texas. His current practice location is
610 N 8th St, Suite 6, Gunter, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 433-1401.
Samuel Marlin Gibson is licensed to practice in Texas (license number 1132587) 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 1205936796.
Healthcare Provider's Profile
| Full Name | Samuel Marlin Gibson |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 610 N 8th St, Gunter, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205936796
- Provider Enumeration Date: 09/24/2006
- Last Update Date: 10/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 4587666078
- Enrollment ID: I20070213000425
Medical Identifiers
Medical identifiers for Samuel Marlin Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205936796 | NPI | - | NPPES |
| 8T6765 | Other | TX | BCBS OF TEXAS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1132587 (Texas) | 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. Samuel Marlin Gibson allows following entities to bill medicare on his behalf.
| Provider Name | Humpal Physical Therapy, P.c. |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1871525287
PECOS PAC ID: 5597656751
Enrollment ID: O20040324001444 |
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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. Samuel Marlin 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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Samuel Marlin Gibson, PT
Po Box 247,
Gunter, TX 75058-0247
Ph: (903) 433-1401 | Samuel Marlin Gibson, PT
610 N 8th St, Suite 6,
Gunter, TX 75058-3586
Ph: (903) 433-1401 |
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