Mrs Misty R Goldson, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Burnside, Kentucky. Her current practice location is
10550 S Highway 27 Ste 3, Burnside, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 400-2227.
Mrs Misty R Goldson is licensed to practice in Kentucky (license number 3004253) 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 1528069531.
Provider's Profile
Full Name | Mrs Misty R Goldson |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 10550 S Highway 27 Ste 3, Burnside, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528069531
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688640360
- Enrollment ID: I20070809000660
Medical Identifiers
Medical identifiers for Mrs Misty R Goldson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528069531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 3004253 (Kentucky) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3004253 (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 Misty R Goldson allows following entities to bill medicare on her behalf.
Entity Name | Southfork Medical Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295718757 PECOS PAC ID: 7012815616 Enrollment ID: O20040602001146 |
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Entity Name | Cumberland Family Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366703159 PECOS PAC ID: 0749426047 Enrollment ID: O20130411000038 |
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Entity Name | Quest Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215475561 PECOS PAC ID: 3173872256 Enrollment ID: O20180822003279 |
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Entity Name | Enlighten Mental Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962278507 PECOS PAC ID: 9931546140 Enrollment ID: O20240325000082 |
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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 Misty R Goldson 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 Misty R Goldson, FNP 57 Hogue Rd, Pine Knot, KY 42635-7003 Ph: (606) 354-9444 | Mrs Misty R Goldson, FNP 10550 S Highway 27 Ste 3, Burnside, KY 42519-9450 Ph: (606) 400-2227 |
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