Tonya Mcgowan, APRN - Medicare Nurse Practitioner in Princeton, KY

Tonya Mcgowan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Princeton, Kentucky. Her current practice location is 100 Medical Center Dr, Princeton, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 365-0300.

Tonya Mcgowan is licensed to practice in Kentucky (license number 3018622) 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 1932810900.

Contact Information

Tonya Mcgowan, APRN
100 Medical Center Dr,
Princeton, KY 42445-2430
(270) 365-0300
Not Available

Map and Direction




Provider's Profile

Full NameTonya Mcgowan
GenderFemale
SpecialityNurse Practitioner - Family
Location100 Medical Center Dr, Princeton, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932810900
  • Provider Enumeration Date: 12/09/2022
  • Last Update Date: 12/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315317633
  • Enrollment ID: I20230103001269

Medical Identifiers

Medical identifiers for Tonya Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932810900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3018622 (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. Tonya Mcgowan allows following entities to bill medicare on her behalf.
Entity NameCaldwell County Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891207460
PECOS PAC ID: 0749275014
Enrollment ID: O20171211001612

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. Tonya Mcgowan 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 AddressPractice Location Address
Tonya Mcgowan, APRN
Po Box 410,
Princeton, KY 42445-0410

Ph: (270) 365-0300
Tonya Mcgowan, APRN
100 Medical Center Dr,
Princeton, KY 42445-2430

Ph: (270) 365-0300

Reviews and Comments


Nurse Practitioner Nurses in Princeton, KY

Chelcia Wright, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 310 Hawthorne St, Princeton, KY 42445
Phone: 270-365-0227    
Ellen E Hedges, ARNP, BC, MSN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1011 W Main St, Suite B, Princeton, KY 42445
Phone: 270-365-0310    Fax: 270-365-0480
Kiona Shea Franklin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 302 Micbeth Dr, Princeton, KY 42445
Phone: 270-365-1225    Fax: 270-365-1252
Mrs. Martiza Chantay Stallins, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 605 S Jefferson St, Princeton, KY 42445
Phone: 270-365-9455    Fax: 270-365-9456
Kelsea Duncan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1023 W Main St, Princeton, KY 42445
Phone: 270-254-5840    Fax: 270-254-5853
Mrs. Mary Hall James, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 323 S Jefferson St Ste C, Princeton, KY 42445
Phone: 270-365-2494    Fax: 270-365-2496
Ms. Deborah Jean Stovall, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 320 Micbeth Dr, Princeton, KY 42445
Phone: 270-265-3433    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.