Gossett Clinic is a medicare enrolled "Family Medicine" provider in Savoy, Illinois. Their current practice location is
206 Burwash Ave, Savoy, Illinois. You can reach out to their office (for appointments etc.) via phone at
(217) 351-8040.
Gossett Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Gossett Clinic
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1194381368.
Healthcare Provider's Profile
| Full Name | Gossett Clinic |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 206 Burwash Ave, Savoy, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194381368
- Provider Enumeration Date: 05/14/2019
- Last Update Date: 07/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 7315273729
- Enrollment ID: O20190723002744
Medical Identifiers
Medical identifiers for Gossett Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194381368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Gossett Clinic acts as a billing entity for following providers:
| Provider Name | Tommy K Gossett |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1093760183
PECOS PAC ID: 4284683285
Enrollment ID: I20050118000032 |
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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. Gossett Clinic 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 |
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Gossett Clinic
1717 W Kirby Ave # 246,
Champaign, IL 61821-5507
Ph: (217) 351-8040 | Gossett Clinic
206 Burwash Ave,
Savoy, IL 61874-9510
Ph: (217) 351-8040 |
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