Kelsie Marie Gould, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Providence, Rhode Island. Her current practice location is
593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 444-8809.
Kelsie Marie Gould is licensed to practice in Rhode Island (license number LP05554) 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 1407421803.
Physician's Profile
Full Name | Kelsie Marie Gould |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 593 Eddy St, Providence, Rhode Island |
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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: 1407421803
- Provider Enumeration Date: 05/26/2021
- Last Update Date: 06/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981082088
- Enrollment ID: I20220601002770
Medical Identifiers
Medical identifiers for Kelsie Marie Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407421803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 289627 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | LP05554 (Rhode Island) | Primary |
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. Kelsie Marie 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 |
Kelsie Marie Gould, MD 8 Sawmill Dr, Westborough, MA 01581-2211 Ph: () - | Kelsie Marie Gould, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-8809 |
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