Dr Vienna L Gibson, DO - Medicare Dermatology in Murrells Inlet, SC

Dr Vienna L Gibson, DO is a medicare enrolled "Dermatology" physician in Murrells Inlet, South Carolina. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Seaside Dermatology Pa and her current practice location is 4017 Highway 17 # 200, Murrells Inlet, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 651-4600.

Dr Vienna L Gibson is licensed to practice in South Carolina (license number 36498) 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 1306171582.

Contact Information

Dr Vienna L Gibson, DO
4017 Highway 17 # 200,
Murrells Inlet, SC 29576-5032
(843) 651-4600
Not Available



Physician's Profile

Full NameDr Vienna L Gibson
GenderFemale
SpecialityDermatology
Experience15 Years
Location4017 Highway 17 # 200, Murrells Inlet, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Vienna L Gibson attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2009
  NPI Data:
  • NPI Number: 1306171582
  • Provider Enumeration Date: 10/06/2009
  • Last Update Date: 10/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9133359862
  • Enrollment ID: I20140721002171

Medical Identifiers

Medical identifiers for Dr Vienna L Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306171582NPI-NPPES
SC3276D652OtherSCMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 36498 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Seaside Dermatology Pa82242546443

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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 Vienna L Gibson allows following entities to bill medicare on her behalf.
Entity NameSeaside Dermatology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376969428
PECOS PAC ID: 8224254644
Enrollment ID: O20140721002065

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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 Vienna L 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 AddressPractice Location Address
Dr Vienna L Gibson, DO
Po Box 691,
Murrells Inlet, SC 29576-0691

Ph: (843) 651-4600
Dr Vienna L Gibson, DO
4017 Highway 17 # 200,
Murrells Inlet, SC 29576-5032

Ph: (843) 651-4600

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Dermatology Doctors in Murrells Inlet, SC


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