Mr Shaun Goulbourne, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Horse Cave, Kentucky. His current practice location is
1485 S Dixie St, Horse Cave, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 786-4551.
Mr Shaun Goulbourne is licensed to practice in Kentucky (license number 002839) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538299540.
Healthcare Provider's Profile
| Full Name | Mr Shaun Goulbourne |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 1485 S Dixie St, Horse Cave, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538299540
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961413570
- Enrollment ID: I20100918000004
Medical Identifiers
Medical identifiers for Mr Shaun Goulbourne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538299540 | NPI | - | NPPES |
| 87001731 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 002839 (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. Mr Shaun Goulbourne allows following entities to bill medicare on his behalf.
| Provider Name | Kentucky Orthopedic Rehabilitation Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1093715054
PECOS PAC ID: 0345157293
Enrollment ID: O20090211000813 |
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| Provider Name | Brighter Futures Therapy Center Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598186868
PECOS PAC ID: 2668742107
Enrollment ID: O20170717002037 |
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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. Mr Shaun Goulbourne 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 |
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Mr Shaun Goulbourne, PHYSICAL THERAPIST
Po Box 911148,
Lexington, KY 40591-1148
Ph: (859) 278-2121 | Mr Shaun Goulbourne, PHYSICAL THERAPIST
1485 S Dixie St,
Horse Cave, KY 42749-1457
Ph: (270) 786-4551 |
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