JERRY GIBBONS MD NPI 1619080124

Psychiatry & Neurology (Psychiatry) in Elk Grove Village, IL

Individual Male Years of Experience 27 Psychiatry & Neurology Psychiatry PECOS Enrolled May Accept Medicare Approved Payment

About JERRY GIBBONS

Jerry Gibbons is a provider established in Elk Grove Village, Illinois and his medical specialization is psychiatry & neurology (psychiatry) with more than 27 years of experience. He graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1994. The NPI number of Jerry Gibbons is 1619080124 and was assigned on August 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 336072265 (IL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

A psychiatrist like Jerry Gibbons Md are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Jerry Gibbons is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jerry Gibbons is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with Alexian Brothers Medical Center 1 and Northwest Community Hospital 1.

NPI

1619080124

Provider Name JERRY GIBBONS MD
Provider Location Address1001 ROHLWING RD ELK GROVE VILLAGE, IL 60007
Provider Mailing Address1001 ROHLWING RD ELK GROVE VILLAGE, IL 60007
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year1994
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-17-2006
Last Update Date06-12-2012

Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License No.336072265
License StateIL
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

JERRY GIBBONS MD
1001 ROHLWING RD
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 524-8800
Fax: (847) 524-8824

Get Directions

Mailing Address

JERRY GIBBONS MD
1001 ROHLWING RD
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 524-8800
Fax: (847) 524-8824

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID244291185
PECOS Enrollment IDI20041022001153
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jerry Gibbons is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ALEXIAN BROTHERS MEDICAL CENTER 1800 W BIESTERFIELD RD
ELK GROVE VILLAGE, IL 60007
(847) 437-5500Acute Care Hospitals140258
NORTHWEST COMMUNITY HOSPITAL 1800 W CENTRAL ROAD
ARLINGTON HEIGHTS, IL 60005
(847) 618-1000Acute Care Hospitals140252

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0021622840OTHER (01)IL
201209MEDICARE PIN (08)IL
0081646688OTHER (01)IL
0071648971OTHER (01)IL
546000MEDICARE PIN (08)IL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073626438 LINDA SPRINGER LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1104017656 LAKISHA Y CAMERON
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1124131008 CAROLE DANKERS LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1124246871 JEAN K BALOUN
Individual
Counselor1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1134135619 LORI SUTHERLAND LCSW
Individual
Social Worker (Clinical)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1194838649 JUDITH NELSON LCSW
Individual
Social Worker (Clinical)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1265545636 YVONNE SUAREZ MORGAN LCSW
Individual
Social Worker (Clinical)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1306959853 BARBRA SALTZMAN LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1356454144 KRISTIN EBY LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1356454748 KAREN WODKA LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1417963927 MICHAEL SADA LCSW
Individual
Social Worker (Clinical)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1447324462DR. LAWRENCE THOMAS NASH MD
Individual
Psychiatry & Neurology (Psychiatry)1001 ROHLWING RD KENNETH YOUNG CENTER
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1528171550 PAMELA BALDINELLI LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1558474072 WAYNE JOZWIAK LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1568575942 DIANE WILLOW LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1588777940 OLIVIA SKVARLA LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1609883875 SUSAN REYNOLDS LCSW
Individual
Social Worker (Clinical)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1912125659 MITCHELL BRUSKI
Individual
Social Worker (Clinical)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1932115441 ROBERT FRITZ LCSW
Individual
Social Worker (Clinical)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800
1952414484 JACQUELINE MARSHALL LCPC
Individual
Counselor (Professional)1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007
(847) 524-8800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.