Jeremy Michael Goral, FNP-C in Tucson, AZ - Medicare Nurse Practitioner

Jeremy Michael Goral, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tucson, Arizona. His current practice location is 2380 N Ferguson Ave Ste 104, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 324-1010.

Jeremy Michael Goral is licensed to practice in Arizona (license number AP10385) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659897635.

Contact Information

	Jeremy Michael Goral, FNP-C
	2380 N Ferguson Ave Ste 104, Tucson, AZ 85712-2837
	(520) 324-1010
	(520) 324-0029

Map and Direction

Provider's Profile

Full Name	Jeremy Michael Goral
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2380 N Ferguson Ave Ste 104, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659897635
Provider Enumeration Date: 08/21/2017
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1355617804
Enrollment ID: I20171027000744

Medical Identifiers

Medical identifiers for Jeremy Michael Goral such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659897635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP10385 (Arizona)	Primary

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. Jeremy Michael Goral allows following entities to bill medicare on his behalf.

Entity Name	Tmc Medical Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996

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. Jeremy Michael Goral 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
Jeremy Michael Goral, FNP-C 4705 South Landing Way, Tucson, AZ 85714 Ph: (520) 294-1740	Jeremy Michael Goral, FNP-C 2380 N Ferguson Ave Ste 104, Tucson, AZ 85712-2837 Ph: (520) 324-1010

Reviews and Comments

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Jeremy Michael Goral, FNP-C - Medicare Nurse Practitioner in Tucson, AZ