Mrs Lindsay Ruth Gotham, MSN, APRN, FNP-C in Hurricane, WV

Mrs Lindsay Ruth Gotham, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hurricane, West Virginia. Her current practice location is 3707 Cambridge Dr, Hurricane, West Virginia. You can reach out to her office (for appointments etc.) via phone at (315) 528-5588.

Mrs Lindsay Ruth Gotham is licensed to practice in West Virginia (license number 114368) 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 1013631100.

Contact Information

	Mrs Lindsay Ruth Gotham, MSN, APRN, FNP-C
	3707 Cambridge Dr, Hurricane, WV 25526-8921
	(315) 528-5588
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lindsay Ruth Gotham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3707 Cambridge Dr, Hurricane, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013631100
Provider Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 3173998069
Enrollment ID: I20230406000809

Medical Identifiers

Medical identifiers for Mrs Lindsay Ruth Gotham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013631100	NPI	-	NPPES
716441	Other	NY	NY RN
98273	Other	WV	WV RN
114368	Other	WV	FNP-C

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	114368 (West Virginia)	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 Lindsay Ruth Gotham allows following entities to bill medicare on her behalf.

Entity Name	St. Mary's Medical Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922155217 PECOS PAC ID: 5890897151 Enrollment ID: O20070216000690

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 Lindsay Ruth Gotham 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 Lindsay Ruth Gotham, MSN, APRN, FNP-C 3707 Cambridge Dr, Hurricane, WV 25526-8921 Ph: (315) 528-5588	Mrs Lindsay Ruth Gotham, MSN, APRN, FNP-C 3707 Cambridge Dr, Hurricane, WV 25526-8921 Ph: (315) 528-5588

Reviews and Comments

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Mrs Lindsay Ruth Gotham, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Hurricane, WV