Mrs Haley Ranae Goulson, PA-C is a medicare enrolled "Physician Assistant" in Dekalb, Illinois. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is
10 Health Services Dr, Dekalb, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 756-5255.
Mrs Haley Ranae Goulson is licensed to practice in Illinois (license number 085.003590) 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 1417283938.
Provider's Profile
Full Name | Mrs Haley Ranae Goulson |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 15 Years |
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Location | 10 Health Services Dr, Dekalb, Illinois |
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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 Haley Ranae Goulson graduated from nursing school in 2009
NPI Data:
- NPI Number: 1417283938
- Provider Enumeration Date: 10/19/2009
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709015571
- Enrollment ID: I20140128001140
Medical Identifiers
Medical identifiers for Mrs Haley Ranae Goulson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417283938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085.003590 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
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 Haley Ranae Goulson 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 Haley Ranae Goulson, PA-C 10 Health Services Dr, Dekalb, IL 60115-9600 Ph: (815) 756-5255 | Mrs Haley Ranae Goulson, PA-C 10 Health Services Dr, Dekalb, IL 60115-9600 Ph: (815) 756-5255 |
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