Jessica Dale Goreham-voss, MD in Coon Rapids, MN

Jessica Dale Goreham-voss, MD is a medicare enrolled "Pediatrics" physician in Coon Rapids, Minnesota. Her current practice location is 4050 Coon Rapids Blvd Nw, Routing 51400, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 236-9765.

Jessica Dale Goreham-voss is licensed to practice in Minnesota (license number 105484) 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 1780842385.

Contact Information

	Jessica Dale Goreham-voss, MD
	4050 Coon Rapids Blvd Nw, Routing 51400, Coon Rapids, MN 55433-2522
	(763) 236-9765
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Dale Goreham-voss
Gender	Female
Speciality	Pediatrics
Location	4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780842385
Provider Enumeration Date: 05/30/2008
Last Update Date: 12/27/2016

Medicare PECOS Information:

PECOS PAC ID: 5799963302
Enrollment ID: I20110630000406

Medical Identifiers

Medical identifiers for Jessica Dale Goreham-voss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780842385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R-8329 (Iowa)	Secondary
208000000X	Pediatrics	105484 (Minnesota)	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. Jessica Dale Goreham-voss allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Jessica Dale Goreham-voss 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
Jessica Dale Goreham-voss, MD 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 Ph: (319) 631-5548	Jessica Dale Goreham-voss, MD 4050 Coon Rapids Blvd Nw, Routing 51400, Coon Rapids, MN 55433-2522 Ph: (763) 236-9765

Reviews and Comments

Pediatrics Doctors in Coon Rapids, MN

Dr. Elise Nordeen Whitehill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Drive, Coon Rapids, MN 55433 Phone: 763-780-9155
Daniel Mcgeary Farber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-3433
Polo Chen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd, Unit 4 West, Pediatric Hospitalist, Coon Rapids, MN 55433 Phone: 763-236-9765 Fax: 763-236-7422
Kelsey Bergstrom Ankeny, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000
Mary E Illions-wilde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-3433
Dr. Justin Ryan Leitch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Allina Medical Clinic - Coon Rapids, Coon Rapids, MN 55433 Phone: 763-780-9155
Jennifer Lynn Martin-mckay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155

Jessica Dale Goreham-voss, MD - Medicare Pediatrics in Coon Rapids, MN