Ashley Nicole Goba, CPNP-PC in Ronkonkoma, NY

Ashley Nicole Goba, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Ronkonkoma, New York. Her current practice location is 45 University Dr, Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at (516) 456-6538.

Ashley Nicole Goba is licensed to practice in New York (license number 383171) 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 1275203523.

Contact Information

	Ashley Nicole Goba, CPNP-PC
	45 University Dr, Ronkonkoma, NY 11779-1904
	(516) 456-6538
	Not Available

Map and Direction

Provider's Profile

Full Name	Ashley Nicole Goba
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	45 University Dr, Ronkonkoma, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275203523
Provider Enumeration Date: 09/17/2021
Last Update Date: 09/17/2021

Medicare PECOS Information:

PECOS PAC ID: 5395125710
Enrollment ID: I20220701001276

Medical Identifiers

Medical identifiers for Ashley Nicole Goba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275203523	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	383171 (New York)	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. Ashley Nicole Goba allows following entities to bill medicare on her behalf.

Entity Name	Boston Children's Health Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864

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. Ashley Nicole Goba 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
Ashley Nicole Goba, CPNP-PC 45 University Dr, Ronkonkoma, NY 11779-1904 Ph: (516) 456-6538	Ashley Nicole Goba, CPNP-PC 45 University Dr, Ronkonkoma, NY 11779-1904 Ph: (516) 456-6538

Reviews and Comments

Nurse Practitioner Nurses in Ronkonkoma, NY

Mr. Peter L Mermelstein, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3505 Veterans Memorial Hwy, Ste C, Ronkonkoma, NY 11779 Phone: 631-676-7656 Fax: 631-676-7648
Reema I Crews, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 382 Rosevale Ave, Ronkonkoma, NY 11779 Phone: 631-667-0388
Michael S Gottlieb, F.N.P-BC(ANCC) M.S.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Peconic St, 92a, Ronkonkoma, NY 11779 Phone: 631-833-0696 Fax: 206-350-1094
Ms. Rosemary P Luke, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 939 Johnson Ave, Ronkonkoma, NY 11779 Phone: 631-852-1440 Fax: 631-852-1448
Reggie Donald Valdemar, PHMNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 153 Lake Shore Rd, Ronkonkoma, NY 11779 Phone: 111-111-1111
Ms. Carinne Nicole Cardona, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779 Phone: 631-737-0055 Fax: 631-737-0076

Ashley Nicole Goba, CPNP-PC - Medicare Nurse Practitioner in Ronkonkoma, NY