Jessica Gibson, DO
Individual provider Active NPI Family Medicine Physician · Essexville, MI
NPI 1992225478 · NPPES record last updated Jun 26, 2017
Key facts
- NPI
- 1992225478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101023339 (MI)
- Practice address
- 1458 W Center Rd
Essexville, MI 48732-2151 - Phone
- (989) 895-4625
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Lincoln Memorial University Medical Department, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- McLaren Bay Region
McLaren Caro Region
Practice addresses (Care Compare)
1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3000
401 N Hooper St
Caro, MI 48723-1476
Phone (989) 673-3141
Hospital & facility affiliations
- McLaren Hospice
- McLaren Bay Region
- McLaren Caro Region
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200902001939 | MI | Practitioner - Family Practice | 1254601875 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Bay Region | Current |
Accepting new patients | |
| Huron Pathology Services PC | Current | Accepting new patients | |
| McLaren Caro Region | Current |
Accepting new patients | |
| McLaren Thumb Region | Current |
Accepting new patients | |
| McLaren Thumb Region | Current |
Accepting new patients | |
| McLaren Thumb Region | Current | Accepting new patients | |
| McLaren Caro Region | Current |
Accepting new patients | |
| McLaren Bay Region | Family Medicine | Current |
Accepting new patients |
| McLaren Bay Region | Past | Accepting new patients | |
| McLaren Bay Region | Past | Accepting new patients |
Locations
1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141
1458 W Center Rd
Essexville, MI 48732
Phone (989) 895-4625
1458 W Center Rd
Ste 1
Essexville, MI 48732
Phone (989) 895-4625
2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101023339 | MI | Yes |
Addresses
Primary practice location
1458 W Center Rd
Essexville, MI 48732-2151
Mailing address
401 S Ballenger Hwy
Flint, MI 48532-3638
Other providers in Essexville, MI
- Euclid Medical Group P.C.
- From the Heart Home Care LLC
- Fusion Custom Chairs, LLC
- Diane Rapson Gabil
- Kristi Lea Geno
- Jonathan David Gibson
- Mia Jolie Gingerich
- Mira Gokhale
- Tommy Goodroe
- Rashmi Goyal
All providers in Essexville, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.