Mrs Kelly Goshorn, APRN in Louisville, KY - Medicare Nurse Practitioner

Mrs Kelly Goshorn, APRN is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. Her current practice location is 200 Abraham Flexner Way, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 852-5689.

Mrs Kelly Goshorn is licensed to practice in Kentucky (license number 3010043) 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 1053779413.

Contact Information

	Mrs Kelly Goshorn, APRN
	200 Abraham Flexner Way, Louisville, KY 40202-2877
	(502) 852-5689
	(502) 587-4840

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Goshorn
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 Abraham Flexner Way, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053779413
Provider Enumeration Date: 02/01/2016
Last Update Date: 12/08/2020

Medicare PECOS Information:

PECOS PAC ID: 2365748563
Enrollment ID: I20160315001341

Medical Identifiers

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

Identifier	Type	State	Issuer
1053779413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3010043 (Kentucky)	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 Goshorn allows following entities to bill medicare on her behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

Entity Name	Physicians In Emergency Medicine Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477532554 PECOS PAC ID: 8628974433 Enrollment ID: O20031211000681

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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 Goshorn 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 Goshorn, APRN Po Box 909, Louisville, KY 40201-0909 Ph: () -	Mrs Kelly Goshorn, APRN 200 Abraham Flexner Way, Louisville, KY 40202-2877 Ph: (502) 852-5689

Reviews and Comments

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Mrs Kelly Goshorn, APRN - Medicare Nurse Practitioner in Louisville, KY