Allyson K Gough, APRN, BC in Mattoon, IL - Medicare Nurse Practitioner

Allyson K Gough, APRN, BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Mattoon, Illinois. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sarah Bush Lincoln Health Center and her current practice location is 1000 Health Center Dr Ste 107, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 238-4960.

Allyson K Gough is licensed to practice in Illinois (license number 209004629) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336196609.

Contact Information

	Allyson K Gough, APRN, BC
	1000 Health Center Dr Ste 107, Mattoon, IL 61938-9253
	(217) 238-4960
	(217) 238-4951

Map and Direction

Provider's Profile

Full Name	Allyson K Gough
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	1000 Health Center Dr Ste 107, Mattoon, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Allyson K Gough graduated from nursing school in 2002

NPI Data:

NPI Number: 1336196609
Provider Enumeration Date: 05/30/2006
Last Update Date: 11/27/2018

Medicare PECOS Information:

PECOS PAC ID: 5092848911
Enrollment ID: I20100729000306

Medical Identifiers

Medical identifiers for Allyson K Gough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336196609	NPI	-	NPPES
517490	Other	IL	HEALTHLINK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041333130 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209004629 (Illinois)	Secondary
364SA2200X	Clinical Nurse Specialist - Adult Health	209004629 (Illinois)	Secondary
364SM0705X	Clinical Nurse Specialist - Medical-surgical	209004629 (Illinois)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	209004629 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sarah Bush Lincoln Health Center	Mattoon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sarah Bush Lincoln Health Center	5092614867	327

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. Allyson K Gough allows following entities to bill medicare on her behalf.

Entity Name	Sarah Bush Lincoln Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478

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. Allyson K Gough 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
Allyson K Gough, APRN, BC 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4693 Ph: (217) 238-6055	Allyson K Gough, APRN, BC 1000 Health Center Dr Ste 107, Mattoon, IL 61938-9253 Ph: (217) 238-4960

Reviews and Comments

Nurse Practitioner Nurses in Mattoon, IL

Diana L. Oakley, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 104, Mattoon, IL 61938 Phone: 217-258-2178 Fax: 217-258-4024
Penelope Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053
Emily N Hardiek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686
Robert C Atchley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551
Loring Barr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323
Mrs. Stacey Tebbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938 Phone: 217-234-5110
Tonya Sue White, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Lake Land Blvd, Mattoon, IL 61938 Phone: 217-258-3370

Allyson K Gough, APRN, BC - Medicare Nurse Practitioner in Mattoon, IL