Jacob William Goergen, RN, ACNP-BC in Atlanta, GA

Jacob William Goergen, RN, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Atlanta, Georgia. He went to Vanderbilt University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Grady Memorial Hospital Corporation and his current practice location is 550 Peachtree St Ne, Office 3304 Davis-fischer Building, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 686-7858.

Jacob William Goergen is licensed to practice in Georgia (license number RN226582) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699019604.

Contact Information

	Jacob William Goergen, RN, ACNP-BC
	550 Peachtree St Ne, Office 3304 Davis-fischer Building, Atlanta, GA 30308-2208
	(404) 686-7858
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob William Goergen
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	550 Peachtree St Ne, Atlanta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob William Goergen attended and graduated from Vanderbilt University School Of Medicine in 2012

NPI Data:

NPI Number: 1699019604
Provider Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012

Medicare PECOS Information:

PECOS PAC ID: 7416100789
Enrollment ID: I20130117000273

Medical Identifiers

Medical identifiers for Jacob William Goergen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699019604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN226582 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grady Memorial Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grady Memorial Hospital Corporation	7517032998	262

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. Jacob William Goergen allows following entities to bill medicare on his behalf.

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

Entity Name	Ctca Physicians Group Of Georgia, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117

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. Jacob William Goergen 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
Jacob William Goergen, RN, ACNP-BC 157 Lake Wellington Dr, Kingsland, GA 31548-5733 Ph: (912) 227-1717	Jacob William Goergen, RN, ACNP-BC 550 Peachtree St Ne, Office 3304 Davis-fischer Building, Atlanta, GA 30308-2208 Ph: (404) 686-7858

Reviews and Comments

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Jacob William Goergen, RN, ACNP-BC - Medicare Nurse Practitioner in Atlanta, GA