Dana Goforth, FNP in Charlotte, NC - Medicare Nurse Practitioner

Dana Goforth, FNP is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. She went to University Of South Alabama College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolinas Emergency Physicians Pa, Northern Rockies Medical Center, Inc. and her current practice location is 1025 Morehead Medical Dr, Suite 600, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 355-8816.

Dana Goforth is licensed to practice in North Carolina (license number 5010743) 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 1932686581.

Contact Information

	Dana Goforth, FNP
	1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963
	(704) 355-8816
	Not Available

Map and Direction

Provider's Profile

Full Name	Dana Goforth
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1025 Morehead Medical Dr, Charlotte, North Carolina
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:

Dana Goforth attended and graduated from University Of South Alabama College Of Medicine in 2018

NPI Data:

NPI Number: 1932686581
Provider Enumeration Date: 07/26/2018
Last Update Date: 01/10/2024

Medicare PECOS Information:

PECOS PAC ID: 4385997279
Enrollment ID: I20181023001101

Medical Identifiers

Medical identifiers for Dana Goforth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932686581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NUR-APRN-LIC-153605 (Montana)	Secondary
363L00000X	Nurse Practitioner	5010743 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Rockies Medical Center	Cut bank, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolinas Emergency Physicians Pa	8628055159	21
Northern Rockies Medical Center, Inc.	0345234506	10

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. Dana Goforth allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

Entity Name	Carolinas Emergency Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285952671 PECOS PAC ID: 8628055159 Enrollment ID: O20100715000317

Entity Name	Gastonia Physician Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316367691 PECOS PAC ID: 3870719602 Enrollment ID: O20140730002523

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. Dana Goforth 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
Dana Goforth, FNP Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Dana Goforth, FNP 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 Ph: (704) 355-8816

Reviews and Comments

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Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
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Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Dana Goforth, FNP - Medicare Nurse Practitioner in Charlotte, NC