Kelly Goff, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Bronx, New York. Her current practice location is
3415 Bainbridge Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 741-2150.
Kelly Goff is licensed to practice in New York (license number 383620) 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 1528846078.
Physician's Profile
Full Name | Kelly Goff |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 3415 Bainbridge Ave, Bronx, New York |
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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: 1528846078
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133567464
- Enrollment ID: I20240405002031
Medical Identifiers
Medical identifiers for Kelly Goff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528846078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 383620 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 383620 (New York) | 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. Kelly Goff allows following entities to bill medicare on her behalf.
Entity Name | Montefiore Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
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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. Kelly Goff 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 |
Kelly Goff, PNP 15042 25th Dr, Flushing, NY 11354-1502 Ph: () - | Kelly Goff, PNP 3415 Bainbridge Ave, Bronx, NY 10467-2403 Ph: (718) 741-2150 |
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