Mrs Derenda Jean Gibbs, PT in Hensley, AR - Medicare Physical Therapist Provider

Mrs Derenda Jean Gibbs, PT is a medicare enrolled "Physical Therapist" provider in Hensley, Arkansas. Her current practice location is 17374 Clearwater Dr, Hensley, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 888-4850.

Mrs Derenda Jean Gibbs is licensed to practice in Arkansas (license number 726) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396861381.

Contact Information

	Mrs Derenda Jean Gibbs, PT
	17374 Clearwater Dr, Hensley, AR 72065-8068
	(501) 888-4850
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Derenda Jean Gibbs
Gender	Female
Speciality	Physical Therapist
Location	17374 Clearwater Dr, Hensley, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396861381
Provider Enumeration Date: 03/21/2007
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 0143606152
Enrollment ID: I20220928002797

Medical Identifiers

Medical identifiers for Mrs Derenda Jean Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396861381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	726 (Arkansas)	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. Mrs Derenda Jean 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 Address	Practice Location Address
Mrs Derenda Jean Gibbs, PT 17374 Clearwater Dr, Hensley, AR 72065-8068 Ph: (501) 888-4850	Mrs Derenda Jean Gibbs, PT 17374 Clearwater Dr, Hensley, AR 72065-8068 Ph: (501) 888-4850

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Mrs Derenda Jean Gibbs, PT - Medicare Physical Therapist in Hensley, AR