Jared Douglas Gouge, is a medicare enrolled "Registered Nurse" in Old Fort, North Carolina. His current practice location is
249 Laurel Ridge Dr, Old Fort, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 442-9429.
Jared Douglas Gouge is licensed to practice in North Carolina (license number 233191) 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 1053878603.
Provider's Profile
Full Name | Jared Douglas Gouge |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 249 Laurel Ridge Dr, Old Fort, North Carolina |
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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:
- Jared Douglas Gouge attended and graduated from in
NPI Data:
- NPI Number: 1053878603
- Provider Enumeration Date: 03/01/2019
- Last Update Date: 03/01/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jared Douglas Gouge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053878603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 233191 (North Carolina) | Primary |
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. Jared Douglas Gouge 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 |
Jared Douglas Gouge, 249 Laurel Ridge Dr, Old Fort, NC 28762-9712 Ph: (828) 442-9429 | Jared Douglas Gouge, 249 Laurel Ridge Dr, Old Fort, NC 28762-9712 Ph: (828) 442-9429 |
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