Caitlin Elisabeth Golliver, APRN-CNP is a medicare enrolled "Nurse Practitioner" physician in O Fallon, Missouri. Her current practice location is
1101 Highway K, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 379-6363.
Caitlin Elisabeth Golliver is licensed to practice in Missouri (license number 2023038253) 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 1821877465.
Physician's Profile
Full Name | Caitlin Elisabeth Golliver |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1101 Highway K, O Fallon, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821877465
- Provider Enumeration Date: 09/25/2023
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890149215
- Enrollment ID: I20231003002721
Medical Identifiers
Medical identifiers for Caitlin Elisabeth Golliver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821877465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 2023038352 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 2023038253 (Missouri) | Primary |
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. Caitlin Elisabeth Golliver allows following entities to bill medicare on her behalf.
Entity Name | Ssm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
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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. Caitlin Elisabeth Golliver 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 |
Caitlin Elisabeth Golliver, APRN-CNP 1101 Highway K, O Fallon, MO 63366-8431 Ph: (636) 379-6363 | Caitlin Elisabeth Golliver, APRN-CNP 1101 Highway K, O Fallon, MO 63366-8431 Ph: (636) 379-6363 |
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