Mark A Goforth, NURSE PRACTITIONER - Medicare Nurse Practitioner in Vail, AZ

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Mark A Goforth, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Vail, Arizona. His current practice location is 14029 E Camino Galante, Vail, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 904-7987.

Mark A Goforth is licensed to practice in Arizona (license number AP4993) 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 1699198747.

Contact Information

Mark A Goforth, NURSE PRACTITIONER
14029 E Camino Galante,
Vail, AZ 85641-2067
(520) 904-7987
Not Available

Map and Direction




Provider's Profile

Full NameMark A Goforth
GenderMale
SpecialityNurse Practitioner - Family
Location14029 E Camino Galante, Vail, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699198747
  • Provider Enumeration Date: 01/27/2014
  • Last Update Date: 01/27/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3870724933
  • Enrollment ID: I20140402002577

Medical Identifiers

Medical identifiers for Mark A Goforth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699198747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP4993 (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. Mark A Goforth allows following entities to bill medicare on his behalf.
Entity NameTri-city Express Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962580118
PECOS PAC ID: 2264436377
Enrollment ID: O20060901000335
Entity NameUhs Of Tucson Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700207651
PECOS PAC ID: 1456588144
Enrollment ID: O20140407002028
Entity NameEast Valley Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992240857
PECOS PAC ID: 1355626565
Enrollment ID: O20170329002371

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. Mark A Goforth 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 AddressPractice Location Address
Mark A Goforth, NURSE PRACTITIONER
14029 E. Camino Galante,
Vail, AZ 85641

Ph: (520) 904-7987		Mark A Goforth, NURSE PRACTITIONER
14029 E Camino Galante,
Vail, AZ 85641-2067

Ph: (520) 904-7987

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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