Mr Jon Alan Gothing, ANP-C in Boston, MA - Medicare Nurse Practitioner

Mr Jon Alan Gothing, ANP-C is a medicare enrolled "Nurse Practitioner" in Boston, Massachusetts. His current practice location is 75 Francis St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 732-8881.

Mr Jon Alan Gothing is licensed to practice in Massachusetts (license number 204854) 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 1053621581.

Contact Information

	Mr Jon Alan Gothing, ANP-C
	75 Francis St, Boston, MA 02115-6110
	(617) 732-8881
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jon Alan Gothing
Gender	Male
Speciality	Nurse Practitioner
Location	75 Francis St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053621581
Provider Enumeration Date: 10/18/2010
Last Update Date: 12/17/2013

Medicare PECOS Information:

PECOS PAC ID: 9638309537
Enrollment ID: I20140219001947

Medical Identifiers

Medical identifiers for Mr Jon Alan Gothing such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053621581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	204854 (Massachusetts)	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. Mr Jon Alan Gothing allows following entities to bill medicare on his behalf.

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

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 Jon Alan Gothing 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 Jon Alan Gothing, ANP-C 75 Francis St, Pbba 4th Floor Rm 412, Boston, MA 02115-6110 Ph: (617) 732-8881	Mr Jon Alan Gothing, ANP-C 75 Francis St, Boston, MA 02115-6110 Ph: (617) 732-8881

Reviews and Comments

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Mr Jon Alan Gothing, ANP-C - Medicare Nurse Practitioner in Boston, MA