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 |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 5040 N 15th Ave Ste 104, Phoenix, Arizona |
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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: 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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285655209 PECOS PAC ID: 4284537416 Enrollment ID: O20040127000856 |
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Entity Name | Progressive Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548218613 PECOS PAC ID: 7113829599 Enrollment ID: O20040308001331 |
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Entity Name | Banner Urgent Care Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316349855 PECOS PAC ID: 3678749496 Enrollment ID: O20111228000784 |
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Entity Name | Banner Urgent Care Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609229764 PECOS PAC ID: 4284921610 Enrollment ID: O20160928001188 |
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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. 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 |
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