Marissa Macey Gosselin, is a
Physician Assistant physician based in Fort Myers, Florida. Marissa Macey Gosselin is licensed to practice in Florida (license number PA9121072) and her current practice location is 13685 Doctors Way Ste 100, Fort Myers, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 343-1612.
NPI number for Marissa Macey Gosselin is 1487523627 and her current mailing address is Po Box 2147, Fort Myers, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487523627.
Physician's Profile
| Full Name | Marissa Macey Gosselin |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 13685 Doctors Way Ste 100, Fort Myers, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487523627
- Provider Enumeration Date: 11/04/2025
- Last Update Date: 01/29/2026
Medical Identifiers
Medical identifiers for Marissa Macey Gosselin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487523627 | NPI | - | NPPES |
| 129420500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0127X | Surgery - Trauma Surgery | G245553999050 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9121072 (Florida) | Primary |
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. Marissa Macey Gosselin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Marissa Macey Gosselin, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-1612 | Marissa Macey Gosselin, 13685 Doctors Way Ste 100, Fort Myers, FL 33912-4337 Ph: (239) 343-1612 |
Reviews and Comments