Hettie Susie Gibbs, MD - Internal Medicine in Memphis, TN

Hettie Susie Gibbs, MD is a Internal Medicine physician based in Memphis, Tennessee. Hettie Susie Gibbs is licensed to practice in Tennessee (license number 13743) and her current practice location is 661 Madison Ave, Suite A, Memphis, Tennessee. She can be reached at her office (for appointments etc.) via phone at (901) 527-2417.

NPI number for Hettie Susie Gibbs is 1023068277 and her current mailing address is 661 Madison Ave, Suite A, Memphis, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023068277.

Contact Information

Hettie Susie Gibbs, MD
661 Madison Ave, Suite A,
Memphis, TN 38103-3307
(901) 527-2417
(901) 522-9646



Physician's Profile

Full NameHettie Susie Gibbs
GenderFemale
SpecialityInternal Medicine
Location661 Madison Ave, Memphis, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023068277
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 12/09/2009

Medical Identifiers

Medical identifiers for Hettie Susie Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023068277NPI-NPPES
3019528MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 13743 (Tennessee)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. Hettie Susie Gibbs is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hettie Susie Gibbs, MD
661 Madison Ave, Suite A,
Memphis, TN 38103-3307

Ph: (901) 527-2417
Hettie Susie Gibbs, MD
661 Madison Ave, Suite A,
Memphis, TN 38103-3307

Ph: (901) 527-2417

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