Dr Jacquelynn Michelle Gould, MD is a medicare enrolled "Hospitalist" physician in Scottsbluff, Nebraska. She went to University Of Colorado School Of Medicine, Denver and graduated in 2005 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Poudre Valley Medical Group Llc and her current practice location is
4021 Avenue B, Scottsbluff, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(308) 630-2920.
Dr Jacquelynn Michelle Gould is licensed to practice in Nebraska (license number 30619) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588799639.
Physician's Profile
Full Name | Dr Jacquelynn Michelle Gould |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 20 Years |
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Location | 4021 Avenue B, Scottsbluff, Nebraska |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jacquelynn Michelle Gould attended and graduated from University Of Colorado School Of Medicine, Denver in 2005
NPI Data:
- NPI Number: 1588799639
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 03/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 5395811376
- Enrollment ID: I20080828000257
Medical Identifiers
Medical identifiers for Dr Jacquelynn Michelle Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588799639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 44789 (Colorado) | Secondary |
208M00000X | Hospitalist | 30619 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
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. Dr Jacquelynn Michelle Gould allows following entities to bill medicare on her behalf.
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
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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. Dr Jacquelynn Michelle Gould 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 |
Dr Jacquelynn Michelle Gould, MD 2030 W Mountain View Ave, Suite 250, Longmont, CO 80501-3178 Ph: (303) 651-5302 | Dr Jacquelynn Michelle Gould, MD 4021 Avenue B, Scottsbluff, NE 69361-4602 Ph: (308) 630-2920 |
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