Mr Charles Gothard, APRN in Jonesboro, AR - Medicare Nurse Practitioner

Mr Charles Gothard, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jonesboro, Arkansas. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Arcare and his current practice location is 416 E Washington Ave, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 333-5476.

Mr Charles Gothard is licensed to practice in Arkansas (license number A005795) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801373824.

Contact Information

	Mr Charles Gothard, APRN
	416 E Washington Ave, Jonesboro, AR 72401-3108
	(870) 333-5476
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Charles Gothard
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	416 E Washington Ave, Jonesboro, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Charles Gothard graduated from nursing school in 2018

NPI Data:

NPI Number: 1801373824
Provider Enumeration Date: 07/23/2018
Last Update Date: 03/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2860740651
Enrollment ID: I20180810001228

Medical Identifiers

Medical identifiers for Mr Charles Gothard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801373824	NPI	-	NPPES
229193758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005795 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Bernards Medical Center	Jonesboro, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Arcare	2567370620	156

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. Mr Charles Gothard allows following entities to bill medicare on his behalf.

Entity Name	Arcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275635542 PECOS PAC ID: 2567370620 Enrollment ID: O20031206000059

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. Mr Charles Gothard 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
Mr Charles Gothard, APRN Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534	Mr Charles Gothard, APRN 416 E Washington Ave, Jonesboro, AR 72401-3108 Ph: (870) 333-5476

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, AR

Mrs. Renata Jane Vaughn, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630
Heather Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088
Katie J Hutton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Carson St, Jonesboro, AR 72401 Phone: 870-910-7726

Mr Charles Gothard, APRN - Medicare Nurse Practitioner in Jonesboro, AR