Jennie L Gohman, NP in Winston, OR - Medicare Nurse Practitioner

Jennie L Gohman, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Winston, Oregon. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adapt and her current practice location is 671 Sw Main St, Winston, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 492-4550.

Jennie L Gohman is licensed to practice in Oregon (license number 202202746NP-PP) 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 1417614611.

Contact Information

	Jennie L Gohman, NP
	671 Sw Main St, Winston, OR 97496-6571
	(541) 492-4550
	(541) 492-4556

Map and Direction

Provider's Profile

Full Name	Jennie L Gohman
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	671 Sw Main St, Winston, Oregon
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:

Jennie L Gohman graduated from nursing school in 2021

NPI Data:

NPI Number: 1417614611
Provider Enumeration Date: 11/22/2021
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 7012303837
Enrollment ID: I20220404002708

Medical Identifiers

Medical identifiers for Jennie L Gohman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417614611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	097003240RN (Oregon)	Secondary
164W00000X	Licensed Practical Nurse	097003240LPN (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	202202746NP-PP (Oregon)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	202202746NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adapt	4587662887	27

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. Jennie L Gohman allows following entities to bill medicare on her behalf.

Entity Name	Adapt
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720010549 PECOS PAC ID: 4587662887 Enrollment ID: O20061121000327

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. Jennie L Gohman 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
Jennie L Gohman, NP Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 672-2691	Jennie L Gohman, NP 671 Sw Main St, Winston, OR 97496-6571 Ph: (541) 492-4550

Reviews and Comments

Nurse Practitioner Nurses in Winston, OR

Mrs. Rebecca Lin Duffy, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 311 Sw Main, Winston, OR 97496 Phone: 541-440-1000
Jaime Hansen, FNP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 671 Sw Main St, Winston, OR 97496 Phone: 541-672-2691
Suzanne Ruth Dudek Dewbre, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 671 Sw Main St, Winston, OR 97496 Phone: 541-492-4550
Karen S Triplett, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 92 Nw Glenhart Ave, Winston, OR 97496 Phone: 541-492-4550 Fax: 541-492-4553
Mckenzie Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Sw Brantley Dr, Winston, OR 97496 Phone: 541-679-0366 Fax: 541-679-4821
Skyler Scott Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 671 Sw Main St, Winston, OR 97496 Phone: 541-492-4550

Jennie L Gohman, NP - Medicare Nurse Practitioner in Winston, OR