Pauline M Goss, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Phoenix, Arizona. Her current practice location is
5040 N 15th Ave Ste 104, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 245-0505.
Pauline M Goss is licensed to practice in Arizona (license number AP1924) 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 1881751022.
Physician's Profile
| Full Name | Pauline M Goss |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Pediatrics |
|---|
| Location | 5040 N 15th Ave Ste 104, Phoenix, Arizona |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1881751022
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 07/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 4385678986
- Enrollment ID: I20050922001099
Medical Identifiers
Medical identifiers for Pauline M Goss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881751022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | RN127520 (Arizona) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP1924 (Arizona) | 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. Pauline M Goss allows following entities to bill medicare on her behalf.
| Entity Name | North Valley Emergency Specialists |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1285655209
PECOS PAC ID: 4284537416
Enrollment ID: O20040127000856 |
|---|
| Entity Name | Progressive Medical Associates Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1548218613
PECOS PAC ID: 7113829599
Enrollment ID: O20040308001331 |
|---|
| Entity Name | Banner Urgent Care Arizona Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1316349855
PECOS PAC ID: 3678749496
Enrollment ID: O20111228000784 |
|---|
| Entity Name | Banner Urgent Care Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609229764
PECOS PAC ID: 4284921610
Enrollment ID: O20160928001188 |
|---|
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. Pauline M Goss 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 |
|---|
Pauline M Goss, NP
20701 N Scottsdale Rd Ste 107-427,
Scottsdale, AZ 85255-6413
Ph: (623) 245-0505 | Pauline M Goss, NP
5040 N 15th Ave Ste 104,
Phoenix, AZ 85015-3329
Ph: (623) 245-0505 |
Reviews and Comments