Jared Douglas Gouge, in Old Fort, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Jared Douglas Gouge, is a medicare enrolled "Registered Nurse" in Old Fort, North Carolina. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice East Carolina Anesthesia Associates Pllc and 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.

Contact Information

	Jared Douglas Gouge,
	249 Laurel Ridge Dr, Old Fort, NC 28762-9712
	(828) 442-9429
	Not Available

Map and Direction

Provider's Profile

Full Name	Jared Douglas Gouge
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	249 Laurel Ridge Dr, Old Fort, North Carolina
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 graduated from nursing school in 2019

NPI Data:

NPI Number: 1053878603
Provider Enumeration Date: 03/01/2019
Last Update Date: 03/01/2019

Medicare PECOS Information:

PECOS PAC ID: 5294069647
Enrollment ID: I20190619000953

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Frye Regional Medical Center	Hickory, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Carolina Anesthesia Associates Pllc	5092720813	473

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. Jared Douglas Gouge allows following entities to bill medicare on his behalf.

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

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

Jared Douglas Gouge, - Medicare Certified Registered Nurse Anesthetist (crna) in Old Fort, NC