Kourtney Lynn Goss, in Jenks, OK - Medicare Nurse Practitioner

Kourtney Lynn Goss, is a medicare enrolled "Nurse Practitioner" in Jenks, Oklahoma. Her current practice location is 11804 S Locust Ave, Jenks, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (817) 243-9929.

Kourtney Lynn Goss is licensed to practice in Oklahoma (license number 200137) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700488871.

Contact Information

	Kourtney Lynn Goss,
	11804 S Locust Ave, Jenks, OK 74037-4298
	(817) 243-9929
	Not Available

Map and Direction

Provider's Profile

Full Name	Kourtney Lynn Goss
Gender	Female
Speciality	Nurse Practitioner
Location	11804 S Locust Ave, Jenks, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700488871
Provider Enumeration Date: 11/12/2020
Last Update Date: 11/12/2020

Medicare PECOS Information:

PECOS PAC ID: 7517366693
Enrollment ID: I20210521000593

Medical Identifiers

Medical identifiers for Kourtney Lynn Goss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700488871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	200137 (Oklahoma)	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. Kourtney Lynn Goss allows following entities to bill medicare on her behalf.

Entity Name	Mccurtain Memorial Medical Management, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629020177 PECOS PAC ID: 8022926252 Enrollment ID: O20040626000315

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. Kourtney Lynn Goss 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
Kourtney Lynn Goss, Po Box 218, Jenks, OK 74037-0218 Ph: (817) 243-9929	Kourtney Lynn Goss, 11804 S Locust Ave, Jenks, OK 74037-4298 Ph: (817) 243-9929

Reviews and Comments

Nurse Practitioner Nurses in Jenks, OK

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Lynn Ann Tudor, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1239 W Main St, Jenks, OK 74037 Phone: 918-291-0004 Fax: 918-296-3911
Brittanee Perez, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12813 South Ash Street, Jenks, OK 74037 Phone: 918-927-5589
Mrs. Susie Ervin Hinex, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 208 E 113th St S, Jenks, OK 74037 Phone: 918-397-3328

Kourtney Lynn Goss, - Medicare Nurse Practitioner in Jenks, OK