Mrs Amanda Marie Gough, NP-C in Sterling Heights, MI

Mrs Amanda Marie Gough, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Sterling Heights, Michigan. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forum Medical Clinic, Pc and her current practice location is 43184 Dequindre Rd, Sterling Heights, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 580-0280.

Mrs Amanda Marie Gough is licensed to practice in Michigan (license number 4704311131) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316419609.

Contact Information

	Mrs Amanda Marie Gough, NP-C
	43184 Dequindre Rd, Sterling Heights, MI 48314-1709
	(586) 580-0280
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amanda Marie Gough
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	43184 Dequindre Rd, Sterling Heights, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Amanda Marie Gough graduated from nursing school in 2018

NPI Data:

NPI Number: 1316419609
Provider Enumeration Date: 12/26/2018
Last Update Date: 12/26/2018

Medicare PECOS Information:

PECOS PAC ID: 7517392236
Enrollment ID: I20200127000644

Medical Identifiers

Medical identifiers for Mrs Amanda Marie Gough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316419609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704311131 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital
Beaumont Hospital, Troy	Troy, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forum Medical Clinic, Pc	5991723876	3

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 Amanda Marie Gough allows following entities to bill medicare on her behalf.

Entity Name	Forum Medical Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992734578 PECOS PAC ID: 5991723876 Enrollment ID: O20051109000558

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 Amanda Marie Gough 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 Amanda Marie Gough, NP-C 43184 Dequindre Rd, Sterling Heights, MI 48314-1709 Ph: () -	Mrs Amanda Marie Gough, NP-C 43184 Dequindre Rd, Sterling Heights, MI 48314-1709 Ph: (586) 580-0280

Reviews and Comments

Nurse Practitioner Nurses in Sterling Heights, MI

Daniel Raymond Braschayko, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37450 Dequindre Rd, Sterling Heights, MI 48310 Phone: 586-979-5100
Krishna Patel, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2673 Avis Dr South, Sterling Heights, MI 48310 Phone: 586-275-4549
Corinne Boak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35501 Mound Rd, Sterling Heights, MI 48310 Phone: 855-445-4554
Ms. Mona Y Wissa, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8244 Metro Pkwy, Sterling Heights, MI 48312 Phone: 586-795-4060 Fax: 586-864-7567
Mrs. Jean Wasilewski Terry, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43200 Dequindre Rd Ste 104, Sterling Heights, MI 48314 Phone: 586-799-4350 Fax: 586-799-4279
Katerina Denkovska, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43303 Schoenherr Rd, Sterling Heights, MI 48313 Phone: 586-739-8674
Nina Blomberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44344 Dequindre Rd Ste 560, Sterling Heights, MI 48314 Phone: 586-731-6777 Fax: 248-731-0299

Mrs Amanda Marie Gough, NP-C - Medicare Nurse Practitioner in Sterling Heights, MI