Joshua Glen Gooch, CRNP in Birmingham, AL - Medicare Nurse Practitioner

Joshua Glen Gooch, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Birmingham, Alabama. His current practice location is 3690 Grandview Pkwy, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 971-7500.

Joshua Glen Gooch is licensed to practice in Alabama (license number 1-178677) 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 1073299640.

Contact Information

	Joshua Glen Gooch, CRNP
	3690 Grandview Pkwy, Birmingham, AL 35243-3326
	(205) 971-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Joshua Glen Gooch
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	3690 Grandview Pkwy, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073299640
Provider Enumeration Date: 06/27/2023
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 1759745672
Enrollment ID: I20230912000282

Medical Identifiers

Medical identifiers for Joshua Glen Gooch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073299640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-178677 (Alabama)	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. Joshua Glen Gooch allows following entities to bill medicare on his behalf.

Entity Name	Affinity Cardiovascular Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215305925 PECOS PAC ID: 1658680434 Enrollment ID: O20151016002299

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. Joshua Glen Gooch 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
Joshua Glen Gooch, CRNP 3680 Grandview Pkwy Ste 200, Birmingham, AL 35243-3411 Ph: (205) 971-7500	Joshua Glen Gooch, CRNP 3690 Grandview Pkwy, Birmingham, AL 35243-3326 Ph: (205) 971-7500

Reviews and Comments

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Joshua Glen Gooch, CRNP - Medicare Nurse Practitioner in Birmingham, AL