Mary Gole, APN, FNP-C in Sparta, NJ - Medicare Nurse Practitioner

Mary Gole, APN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sparta, New Jersey. Her current practice location is 376 Lafayette Rd Ste 101, Sparta, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 383-9898.

Mary Gole is licensed to practice in New Jersey (license number 26NJ01417300) 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 1043926439.

Contact Information

	Mary Gole, APN, FNP-C
	376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560
	(973) 383-9898
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Gole
Gender	Female
Speciality	Nurse Practitioner - Family
Location	376 Lafayette Rd Ste 101, Sparta, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043926439
Provider Enumeration Date: 01/27/2023
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6901265065
Enrollment ID: I20230707000406

Medical Identifiers

Medical identifiers for Mary Gole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043926439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ01417300 (New Jersey)	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. Mary Gole allows following entities to bill medicare on her behalf.

Entity Name	Atlantic Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023358959 PECOS PAC ID: 2264679661 Enrollment ID: O20130502000023

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. Mary Gole 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
Mary Gole, APN, FNP-C Po Box 540, Succasunna, NJ 07876-0540 Ph: () -	Mary Gole, APN, FNP-C 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 Ph: (973) 383-9898

Reviews and Comments

Nurse Practitioner Nurses in Sparta, NJ

Susan Miller, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 89 Sparta Ave, Sparta, NJ 07871 Phone: 973-971-5595
Mrs. Sharon St. Angelo, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13a Main St, Suite 7, Sparta, NJ 07871 Phone: 973-726-0355 Fax: 973-726-0255
Mrs. Shirley Lacaden Pegollo, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Ponderosa Trl, Sparta, NJ 07871 Phone: 973-768-7300
Mrs. Renee Rodrigues-thomas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 328a Sparta Ave, Sparta, NJ 07871 Phone: 973-729-2197 Fax: 872-729-3653
Neha Dipak Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13a Main St Ste 7, Sparta, NJ 07871 Phone: 973-726-0355
Angela Marie Silletti-cayer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Main St, Sparta, NJ 07871 Phone: 973-729-9700

Mary Gole, APN, FNP-C - Medicare Nurse Practitioner in Sparta, NJ