Terri Gould, PA is a medicare enrolled "Physician Assistant" physician in South Charleston, West Virginia. Her current practice location is
4605 Maccorkle Ave Sw, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(330) 493-4443.
Terri Gould is licensed to practice in West Virginia (license number 00603) 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 1316087208.
Physician's Profile
Full Name | Terri Gould |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 4605 Maccorkle Ave Sw, South Charleston, West Virginia |
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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: 1316087208
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 05/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 2567533847
- Enrollment ID: I20080613000117
Medical Identifiers
Medical identifiers for Terri Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316087208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 00603 (West Virginia) | Secondary |
363A00000X | Physician Assistant | 00603 (West Virginia) | 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. Terri 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 |
Terri Gould, PA 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443 | Terri Gould, PA 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (330) 493-4443 |
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