Mrs Alyssa Gosselin, PMHNP in Boulder, CO - Medicare Nurse Practitioner

Mrs Alyssa Gosselin, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Boulder, Colorado. Her current practice location is 5105 Williams Fork Trl Apt 201, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (978) 430-1262.

Mrs Alyssa Gosselin is licensed to practice in Colorado (license number APN.0998055) 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 1427775980.

Contact Information

	Mrs Alyssa Gosselin, PMHNP
	5105 Williams Fork Trl Apt 201, Boulder, CO 80301-3400
	(978) 430-1262
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alyssa Gosselin
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5105 Williams Fork Trl Apt 201, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427775980
Provider Enumeration Date: 10/25/2022
Last Update Date: 10/25/2022

Medicare PECOS Information:

PECOS PAC ID: 3375915945
Enrollment ID: I20230207003547

Medical Identifiers

Medical identifiers for Mrs Alyssa Gosselin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427775980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APN.0998055 (Colorado)	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. Mrs Alyssa Gosselin allows following entities to bill medicare on her behalf.

Entity Name	Joseph Yeretsian Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942668165 PECOS PAC ID: 5597893313 Enrollment ID: O20200318000673

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. Mrs Alyssa Gosselin 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
Mrs Alyssa Gosselin, PMHNP 5105 Williams Fork Trl Apt 201, Boulder, CO 80301-3400 Ph: (978) 430-1262	Mrs Alyssa Gosselin, PMHNP 5105 Williams Fork Trl Apt 201, Boulder, CO 80301-3400 Ph: (978) 430-1262

Reviews and Comments

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Mrs Alyssa Gosselin, PMHNP - Medicare Nurse Practitioner in Boulder, CO