Kelley Lou Gossage, APNP in De Pere, WI - Medicare Nurse Practitioner

Kelley Lou Gossage, APNP is a medicare enrolled "Nurse Practitioner" in De Pere, Wisconsin. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and her current practice location is 3860 Monroe Rd, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Kelley Lou Gossage is licensed to practice in Wisconsin (license number 1259) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679598023.

Contact Information

	Kelley Lou Gossage, APNP
	3860 Monroe Rd, De Pere, WI 54115-8399
	(920) 496-4700
	(920) 496-4705

Map and Direction

Provider's Profile

Full Name	Kelley Lou Gossage
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	3860 Monroe Rd, De Pere, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelley Lou Gossage graduated from nursing school in 1998

NPI Data:

NPI Number: 1679598023
Provider Enumeration Date: 07/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5092730630
Enrollment ID: I20051012000556

Medical Identifiers

Medical identifiers for Kelley Lou Gossage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679598023	NPI	-	NPPES
43971300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	87057 (Wisconsin)	Primary
363L00000X	Nurse Practitioner	1259 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Vincent Hospital	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis	5799694675	562

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. Kelley Lou Gossage allows following entities to bill medicare on her behalf.

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Kelley Lou Gossage 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
Kelley Lou Gossage, APNP Po Box 19070, Prevea Health, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Kelley Lou Gossage, APNP 3860 Monroe Rd, De Pere, WI 54115-8399 Ph: (920) 496-4700

Reviews and Comments

Nurse Practitioner Nurses in De Pere, WI

Margaret M Brochocki, APNP PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-0129
Paul Antonissen, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3957 Garrett St, De Pere, WI 54115 Phone: 920-471-3729
Aspen Marie Jump, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855
Ivy E Leasum, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 N Wisconsin St, De Pere, WI 54115 Phone: 920-327-7056
Pamela M Page, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Stacey J Hittman, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Sand Acres Dr Ste 2a, De Pere, WI 54115 Phone: 920-373-8086
Katie E Bischoff, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2366 Oak Ridge Cir, De Pere, WI 54115 Phone: 920-338-1111 Fax: 920-339-5505

Kelley Lou Gossage, APNP - Medicare Nurse Practitioner in De Pere, WI