Jamie Lynn Gothberg, NP in Ionia, MI - Medicare Nurse Practitioner

Jamie Lynn Gothberg, NP is a medicare enrolled "Nurse Practitioner - Family" in Ionia, Michigan. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pennock Hospital and her current practice location is 2776 S State Rd, Ionia, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 775-7500.

Jamie Lynn Gothberg is licensed to practice in Michigan (license number 4704276419) 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 1235605833.

Contact Information

	Jamie Lynn Gothberg, NP
	2776 S State Rd, Ionia, MI 48846-8472
	(616) 775-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Jamie Lynn Gothberg
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2776 S State Rd, Ionia, Michigan
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:

Jamie Lynn Gothberg graduated from nursing school in 2018

NPI Data:

NPI Number: 1235605833
Provider Enumeration Date: 10/22/2018
Last Update Date: 05/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8325382419
Enrollment ID: I20181129003346

Medical Identifiers

Medical identifiers for Jamie Lynn Gothberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235605833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704276419 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health Pennock	Hastings, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pennock Hospital	4587551015	41

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. Jamie Lynn Gothberg allows following entities to bill medicare on her behalf.

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790

Entity Name	Pennock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518186295 PECOS PAC ID: 4587551015 Enrollment ID: O20040301000595

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. Jamie Lynn Gothberg 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
Jamie Lynn Gothberg, NP 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Jamie Lynn Gothberg, NP 2776 S State Rd, Ionia, MI 48846-8472 Ph: (616) 775-7500

Reviews and Comments

Nurse Practitioner Nurses in Ionia, MI

Joshua David Schad, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1576 W Bluewater Hwy, Ionia, MI 48846 Phone: 616-527-6331
Jessica Anne Yates, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-775-7500
Mrs. Denise Patricia Stepanovich, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1727 W Bluewater Hwy, Ionia, MI 48846 Phone: 616-527-2510
Ms. Christina L Reisinger, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-775-7500 Fax: 616-775-7510
Angela Soto, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1576 W Bluewater Hwy, Ionia, MI 48846 Phone: 800-592-2974
Mrs. Jolynn Sue Mulder-carroll, MSN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 E Lincoln Ave, Ionia, MI 48846 Phone: 616-527-2370 Fax: 616-527-3824
Ashleigh Anne Roy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-775-7500

Jamie Lynn Gothberg, NP - Medicare Nurse Practitioner in Ionia, MI