Brett Shane Gochnour, DO is a medicare enrolled "Family Medicine" physician in Quartzsite, Arizona. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. He is a member of the group practice La Paz Regional Hospital Inc and his current practice location is
150 E Tyson Road, Quartzsite, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 927-8747.
Brett Shane Gochnour is licensed to practice in Arizona (license number 4481) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588671622.
Physician's Profile
| Full Name | Brett Shane Gochnour |
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| Gender | Male |
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| Speciality | Osteopathic Manipulative Medicine |
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| Experience | 22 Years |
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| Location | 150 E Tyson Road, Quartzsite, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brett Shane Gochnour graduated from medical school in 2003
NPI Data:
- NPI Number: 1588671622
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608873344
- Enrollment ID: I20161219001345
Medical Identifiers
Medical identifiers for Brett Shane Gochnour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588671622 | NPI | - | NPPES |
| 4481 | Other | AZ | AZ STATE LICENSE |
| Z196548 | Other | AZ | MEDICARE NUMBER |
| 230943 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4481 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| La Paz Regional Hospital Inc | 1557273356 | 42 |
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. Brett Shane Gochnour allows following entities to bill medicare on his behalf.
| Entity Name | La Paz Regional Hospital Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1053684555
PECOS PAC ID: 1557273356
Enrollment ID: O20120409000056 |
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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. Brett Shane Gochnour 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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Brett Shane Gochnour, DO
1200 W Mohave Rd,
Parker, AZ 85344-6349
Ph: (928) 669-7311 | Brett Shane Gochnour, DO
150 E Tyson Road,
Quartzsite, AZ 85346
Ph: (928) 927-8747 |
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