Justin Goucher, APRN in Fayetteville, AR - Medicare Nurse Practitioner

Justin Goucher, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Fayetteville, Arkansas. His current practice location is 1100 N College Ave, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 443-4301.

Justin Goucher is licensed to practice in Arkansas (license number 216579) 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 1881356368.

Contact Information

	Justin Goucher, APRN
	1100 N College Ave, Fayetteville, AR 72703-1944
	(479) 443-4301
	Not Available

Map and Direction

Provider's Profile

Full Name	Justin Goucher
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	1100 N College Ave, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881356368
Provider Enumeration Date: 10/12/2021
Last Update Date: 04/27/2022

Medicare PECOS Information:

PECOS PAC ID: 9931596319
Enrollment ID: I20220504000725

Medical Identifiers

Medical identifiers for Justin Goucher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881356368	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	216579 (Arkansas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	216579 (Arkansas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	216579 (Arkansas)	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. Justin Goucher allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365

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. Justin Goucher 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
Justin Goucher, APRN 9 Selland Ln, Bella Vista, AR 72715-5568 Ph: (870) 225-6219	Justin Goucher, APRN 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 443-4301

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, AR

Michele L Griffin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 641-780-8696
Durinda Pena, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703 Phone: 479-587-1700 Fax: 479-587-1366
Mrs. Diane H. Morrow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703 Phone: 479-571-6000
Colby Hines, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Elizabeth Ann-grace Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329
Julia Marsh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-5805 Fax: 479-659-7930
Miss Sarah Anne Campbell, DNP, AGAC-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3211 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-8740

Justin Goucher, APRN - Medicare Nurse Practitioner in Fayetteville, AR