Audrey Goh, in Mesa, AZ - Medicare Nurse Practitioner

Audrey Goh, is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. Her current practice location is 612 W Baseline Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 834-9039.

Audrey Goh is licensed to practice in Arizona (license number RNP272440) 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 1972274280.

Contact Information

	Audrey Goh,
	612 W Baseline Rd, Mesa, AZ 85210-6041
	(480) 834-9039
	Not Available

Map and Direction

Provider's Profile

Full Name	Audrey Goh
Gender	Female
Speciality	Nurse Practitioner - Family
Location	612 W Baseline Rd, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972274280
Provider Enumeration Date: 09/26/2021
Last Update Date: 03/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4587042767
Enrollment ID: I20220531000782

Medical Identifiers

Medical identifiers for Audrey Goh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972274280	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN200291 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	RNP272440 (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. Audrey Goh allows following entities to bill medicare on her behalf.

Entity Name	Desert Kidney Associates Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144372905 PECOS PAC ID: 4284611286 Enrollment ID: O20040707000402

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. Audrey Goh 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
Audrey Goh, 612 W Baseline Rd, Mesa, AZ 85210-6041 Ph: (480) 834-9039	Audrey Goh, 612 W Baseline Rd, Mesa, AZ 85210-6041 Ph: (480) 834-9039

Reviews and Comments

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Audrey Goh, - Medicare Nurse Practitioner in Mesa, AZ