Mrs Kelly Ann Godberson, NP in Medford, NY - Medicare Nurse Practitioner

Mrs Kelly Ann Godberson, NP is a medicare enrolled "Nurse Practitioner" in Medford, New York. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 3115 Horseblock Rd, Medford, New York. You can reach out to her office (for appointments etc.) via phone at (631) 730-3000.

Mrs Kelly Ann Godberson is licensed to practice in New York (license number 308240) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1053833962.

Contact Information

	Mrs Kelly Ann Godberson, NP
	3115 Horseblock Rd, Medford, NY 11763-2526
	(631) 730-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Ann Godberson
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3115 Horseblock Rd, Medford, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly Ann Godberson graduated from nursing school in 2017

NPI Data:

NPI Number: 1053833962
Provider Enumeration Date: 07/12/2017
Last Update Date: 07/12/2017

Medicare PECOS Information:

PECOS PAC ID: 1557635927
Enrollment ID: I20170922003171

Medical Identifiers

Medical identifiers for Mrs Kelly Ann Godberson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053833962	NPI	-	NPPES
308240	Other	NY	NURSE PRACTIONER LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	308240 (New York)	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 Kelly Ann Godberson allows following entities to bill medicare on her behalf.

Entity Name	Suffolk Medical Specialist, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710950688 PECOS PAC ID: 3274424775 Enrollment ID: O20071214000373

Entity Name	Kag Professional Nurse Practioner In Adult Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295391985 PECOS PAC ID: 2769894476 Enrollment ID: O20201221002115

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 Kelly Ann Godberson 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 Kelly Ann Godberson, NP 32 Marlin Rd, Centereach, NY 11720-3012 Ph: (631) 698-2823	Mrs Kelly Ann Godberson, NP 3115 Horseblock Rd, Medford, NY 11763-2526 Ph: (631) 730-3000

Reviews and Comments

Nurse Practitioner Nurses in Medford, NY

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Ms. Phyllis Joan Wolff, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1723 N Ocean Ave, Medford, NY 11763 Phone: 631-758-5858
Mrs. Keisha Ann Monique Williams, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2799 Route 112 Ste 11and7, Medford, NY 11763 Phone: 631-732-5222 Fax: 631-732-6222
Ms. Mary Alice Rossini, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1727 N Ocean Ave, Medford, NY 11763 Phone: 631-654-1919

Mrs Kelly Ann Godberson, NP - Medicare Nurse Practitioner in Medford, NY