Michael Joseph Gould, is a medicare enrolled "Family Medicine" physician in Fairmount City, Pennsylvania. His current practice location is
82 Town Run Rd, Fairmount City, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 275-1600.
Michael Joseph Gould is licensed to practice in Pennsylvania (license number OT014570) 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 1205182136.
Physician's Profile
| Full Name | Michael Joseph Gould |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 82 Town Run Rd, Fairmount City, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205182136
- Provider Enumeration Date: 07/30/2012
- Last Update Date: 04/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759505670
- Enrollment ID: I20140617000211
Medical Identifiers
Medical identifiers for Michael Joseph Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205182136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OT014570 (Pennsylvania) | 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. Michael Joseph Gould allows following entities to bill medicare on his behalf.
| Entity Name | Potomac Valley Hospital Of Wva, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316054919
PECOS PAC ID: 8123917788
Enrollment ID: O20040311001344 |
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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. Michael Joseph 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 |
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Michael Joseph Gould,
310 Greencrest Dr,
Shippenville, PA 16254-4208
Ph: () - | Michael Joseph Gould,
82 Town Run Rd,
Fairmount City, PA 16224-1502
Ph: (814) 275-1600 |
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