Mark A Gould, PA is a medicare enrolled "Physician Assistant" physician in Albuquerque, New Mexico. His current practice location is
1524 Eubank Blvd Ne Ste 6, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 503-8806.
Mark A Gould is licensed to practice in New Mexico (license number PA2005-0029) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023278108.
Physician's Profile
Full Name | Mark A Gould |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1524 Eubank Blvd Ne Ste 6, Albuquerque, New Mexico |
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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: 1023278108
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608921473
- Enrollment ID: I20090831000192
Medical Identifiers
Medical identifiers for Mark A Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023278108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PA2005-0029 (New Mexico) | Secondary |
363A00000X | Physician Assistant | PA2005-0029 (New Mexico) | 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. Mark A 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 |
Mark A Gould, PA Po Box 95590, Albuquerque, NM 87199-5590 Ph: (505) 503-8806 | Mark A Gould, PA 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 Ph: (505) 503-8806 |
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