Kenneth Gibbs, MD - Medicare Internal Medicine in Lewiston, ID

Kenneth Gibbs, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Lewiston, Idaho. His current practice location is 415 6th St, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 750-7445.

Kenneth Gibbs is licensed to practice in Idaho (license number M-12671) 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 1174506455.

Contact Information

Kenneth Gibbs, MD
415 6th St,
Lewiston, ID 83501-2431
(208) 750-7445
(208) 750-7395



Physician's Profile

Full NameKenneth Gibbs
GenderMale
SpecialityInternal Medicine - Interventional Cardiology
Location415 6th St, Lewiston, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174506455
  • Provider Enumeration Date: 11/21/2005
  • Last Update Date: 09/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7315926847
  • Enrollment ID: I20080317000009

Medical Identifiers

Medical identifiers for Kenneth Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174506455NPI-NPPES
005793300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease ME44229 (Florida)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 41676 (Kentucky)Secondary
207RI0011XInternal Medicine - Interventional Cardiology ME44229 (Florida)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 2016035277 (Missouri)Secondary
207RI0011XInternal Medicine - Interventional Cardiology M-12671 (Idaho)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. Kenneth Gibbs allows following entities to bill medicare on his behalf.
Entity NamePikeville Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528195864
PECOS PAC ID: 6709790157
Enrollment ID: O20040304001281

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Entity NameT J Samson Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477609865
PECOS PAC ID: 0648182600
Enrollment ID: O20040318001777

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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. Kenneth Gibbs 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
Kenneth Gibbs, MD
415 6th St,
Lewiston, ID 83501

Ph: (208) 750-7445
Kenneth Gibbs, MD
415 6th St,
Lewiston, ID 83501-2431

Ph: (208) 750-7445

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Internal Medicine Doctors in Lewiston, ID

Robert Alan Wales, MD, FACC
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2315 8th St Grade, Lewiston, ID 83501
Phone: 509-455-8820    Fax: 509-227-7070
David B Souvenir, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-750-7204    Fax: 208-746-0134
Jane A Fore, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 Sixth St, Lewiston, ID 83501
Phone: 208-750-7445    
Dr. Heather Fowler Cumbo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-750-7445    
Sushma Pant, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Idaho Street, Lewiston, ID 83501
Phone: 208-743-7427    Fax: 208-743-7421
Dr. Michael Rooney, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-743-2511    Fax: 208-799-5528
Dr. William Westel Rowe, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-750-7507    

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