Adriel Jonathan Go, in Modesto, CA - Medicare Registered Nurse

Adriel Jonathan Go, is a medicare enrolled "Registered Nurse" in Modesto, California. His current practice location is 4224 Copper Creek Dr, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 985-4803.

Adriel Jonathan Go is licensed to practice in Tennessee (license number 258083) 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 1669137402.

Contact Information

	Adriel Jonathan Go,
	4224 Copper Creek Dr, Modesto, CA 95355-8963
	(209) 985-4803
	Not Available

Map and Direction

Provider's Profile

Full Name	Adriel Jonathan Go
Gender	Male
Speciality	Registered Nurse
Location	4224 Copper Creek Dr, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669137402
Provider Enumeration Date: 11/06/2021
Last Update Date: 11/06/2021

Medicare PECOS Information:

PECOS PAC ID: 0648648618
Enrollment ID: I20230523002550

Medical Identifiers

Medical identifiers for Adriel Jonathan Go such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669137402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	258083 (Tennessee)	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. Adriel Jonathan Go allows following entities to bill medicare on his behalf.

Entity Name	Eag Professional Medical Corp.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841483427 PECOS PAC ID: 4880641752 Enrollment ID: O20050401000955

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. Adriel Jonathan Go 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
Adriel Jonathan Go, 4224 Copper Creek Dr, Modesto, CA 95355-8963 Ph: (209) 985-4803	Adriel Jonathan Go, 4224 Copper Creek Dr, Modesto, CA 95355-8963 Ph: (209) 985-4803

Reviews and Comments

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Adriel Jonathan Go, - Medicare Registered Nurse in Modesto, CA