Madeline Gould, in San Bernardino, CA - Medicare Physician Assistant

Madeline Gould, is a medicare enrolled "Physician Assistant - Medical" in San Bernardino, California. Her current practice location is 565 N. Mount Vernon Ave, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 884-9091.

Madeline Gould is licensed to practice in California (license number PA23151) 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 1457786121.

Contact Information

	Madeline Gould,
	565 N. Mount Vernon Ave, San Bernardino, CA 92411
	(909) 884-9091
	(909) 383-7013

Map and Direction

Provider's Profile

Full Name	Madeline Gould
Gender	Female
Speciality	Physician Assistant - Medical
Location	565 N. Mount Vernon Ave, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457786121
Provider Enumeration Date: 09/12/2013
Last Update Date: 09/12/2013

Medicare PECOS Information:

PECOS PAC ID: 6709273527
Enrollment ID: I20220426002628

Medical Identifiers

Medical identifiers for Madeline Gould such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457786121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA23151 (California)	Primary

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. Madeline Gould 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
Madeline Gould, 565 N Mount Vernon Ave, San Bernardino, CA 92411-2661 Ph: (909) 884-9091	Madeline Gould, 565 N. Mount Vernon Ave, San Bernardino, CA 92411 Ph: (909) 884-9091

Reviews and Comments

Physician Assistant Nurses in San Bernardino, CA

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Madeline Gould, - Medicare Physician Assistant in San Bernardino, CA