Polly Sue Gockley, CRNP in Lititz, PA - Medicare Nurse Practitioner

Polly Sue Gockley, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lititz, Pennsylvania. Her current practice location is 1535 Highlands Dr Ste 100, Lititz, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 627-4088.

Polly Sue Gockley is licensed to practice in Pennsylvania (license number SP010356) 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 1912137886.

Contact Information

	Polly Sue Gockley, CRNP
	1535 Highlands Dr Ste 100, Lititz, PA 17543-7681
	(717) 627-4088
	(717) 627-4089

Map and Direction

Provider's Profile

Full Name	Polly Sue Gockley
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1535 Highlands Dr Ste 100, Lititz, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912137886
Provider Enumeration Date: 07/24/2009
Last Update Date: 06/30/2017

Medicare PECOS Information:

PECOS PAC ID: 3971659798
Enrollment ID: I20090921000398

Medical Identifiers

Medical identifiers for Polly Sue Gockley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912137886	NPI	-	NPPES
1024288560002	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	SP010356 (Pennsylvania)	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. Polly Sue Gockley allows following entities to bill medicare on her behalf.

Entity Name	Pinnacle Health Regional Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013441690 PECOS PAC ID: 7416228358 Enrollment ID: O20170810001731

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. Polly Sue Gockley 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
Polly Sue Gockley, CRNP 409 S 2nd St Ste 2f, Harrisburg, PA 17104-1612 Ph: () -	Polly Sue Gockley, CRNP 1535 Highlands Dr Ste 100, Lititz, PA 17543-7681 Ph: (717) 627-4088

Reviews and Comments

Nurse Practitioner Nurses in Lititz, PA

Ahna D Fulmer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-988-0000 Fax: 717-782-5716
Leah Michelle Ortiz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 640 E Oregon Rd, Lititz, PA 17543 Phone: 717-569-8773 Fax: 717-569-8187
Nicole Shaffer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108
Megan E Jones, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Airport Rd, Lititz, PA 17543 Phone: 717-466-2445 Fax: 717-466-2447
Jonathan D Hostetter, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108
Marjorie A. Torchia, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1575 Highlands Dr, Lititz, PA 17543 Phone: 717-627-4088
Bethany G Brown, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108 Fax: 717-627-2434

Polly Sue Gockley, CRNP - Medicare Nurse Practitioner in Lititz, PA