Mrs Nicole Goult, FNP in Cicero, NY - Medicare Family Medicine

Mrs Nicole Goult, FNP is a medicare enrolled "Family Medicine" physician in Cicero, New York. Her current practice location is 7851 Brewerton Rd # 1, Cicero, New York. You can reach out to her office (for appointments etc.) via phone at (315) 484-5809.

Mrs Nicole Goult is licensed to practice in New York (license number F352053-01) 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 1558046557.

Contact Information

	Mrs Nicole Goult, FNP
	7851 Brewerton Rd # 1, Cicero, NY 13039-9533
	(315) 484-5809
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Nicole Goult
Gender	Female
Speciality	Family Medicine
Location	7851 Brewerton Rd # 1, Cicero, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558046557
Provider Enumeration Date: 06/16/2023
Last Update Date: 06/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2860854718
Enrollment ID: I20230809003720

Medical Identifiers

Medical identifiers for Mrs Nicole Goult such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558046557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	F352053-01 (New York)	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 Nicole Goult allows following entities to bill medicare on her behalf.

Entity Name	Wellnow Urgent Care, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20170118001953

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 Nicole Goult 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 Nicole Goult, FNP 91 Hogsback Rd, Hastings, NY 13076-4104 Ph: () -	Mrs Nicole Goult, FNP 7851 Brewerton Rd # 1, Cicero, NY 13039-9533 Ph: (315) 484-5809

Reviews and Comments

Family Medicine Doctors in Cicero, NY

Mr. Harvey E Black, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5813 East Seymour St, Cicero, NY 13039 Phone: 315-699-2789 Fax: 315-699-6251
Paolo S Pastore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8393 Elta Drive, Cicero, NY 13039 Phone: 315-698-0290 Fax: 315-698-0291
Joy C Commisso, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5586 Legionnaire Dr Ste 1, Cicero, NY 13039 Phone: 315-699-2837 Fax: 315-699-2734
Caitlin Camara, Family Medicine Medicare: Medicare Enrolled Practice Location: 5586 Legionnaire Dr, Cicero, NY 13039 Phone: 315-699-2837
Dennis J Nave, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5586 Legionnaire Dr, Cicero, NY 13039 Phone: 315-699-2837 Fax: 315-699-2734
Eleni Kosmas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5586 Legionnaire Dr Ste 2, Cicero, NY 13039 Phone: 315-699-2837 Fax: 315-699-2734

Mrs Nicole Goult, FNP - Medicare Family Medicine in Cicero, NY