Dr Gibson O, DDS in Alamogordo, NM - Medicare Dentist Provider

Dr Gibson O, DDS is a medicare enrolled "Dentist" provider in Alamogordo, New Mexico. His current practice location is 2150 Highway 54 S, Alamogordo, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 443-8133.

Dr Gibson O is licensed to practice in New Mexico (license number DD4194) 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 1154586170.

Contact Information

	Dr Gibson O, DDS
	2150 Highway 54 S, Alamogordo, NM 88310-7330
	(575) 443-8133
	(575) 443-8055

Healthcare Provider's Profile

Full Name	Dr Gibson O
Gender	Male
Speciality	Dentist
Location	2150 Highway 54 S, Alamogordo, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154586170
Provider Enumeration Date: 07/21/2008
Last Update Date: 04/08/2021

Medicare PECOS Information:

PECOS PAC ID: 7810201944
Enrollment ID: I20150804003751

Medical Identifiers

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

Identifier	Type	State	Issuer
1154586170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	0024099 (Texas)	Secondary
122300000X	Dentist	053883 (New York)	Secondary
122300000X	Dentist	DD4194 (New Mexico)	Primary

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 Gibson O 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
Dr Gibson O, DDS Po Box 370, Hatch, NM 87937-0370 Ph: (575) 267-3280	Dr Gibson O, DDS 2150 Highway 54 S, Alamogordo, NM 88310-7330 Ph: (575) 443-8133

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Dentist in Alamogordo, NM

Alexander W Han, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1713 10th St Ste A, Alamogordo, NM 88310 Phone: 575-439-5439
Dr. Gia Huy Nguyen Le, Dentist Medicare: Medicare Enrolled Practice Location: 1713 10th St Ste A, Alamogordo, NM 88310 Phone: 575-439-5439
Dr. Logan Daniel Behrmann, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2808 Indian Wells Rd, Alamogordo, NM 88310 Phone: 575-437-4903 Fax: 575-434-1220
Dr. John Paul Klump, D.D.S. M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 Cuba Ave, Alamogordo, NM 88310 Phone: 505-434-4957
Dr. John Carroll Cason, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 New York Ave, Alamogordo, NM 88310 Phone: 505-434-0470 Fax: 505-439-5905
Tyrell C Dean, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2150 Highway 54 S, Alamogordo, NM 88310 Phone: 575-443-8133 Fax: 575-443-8055

Dr Gibson O, DDS - Medicare Dentist in Alamogordo, NM