Teri L Gourley, DO is a medicare enrolled "Emergency Medicine" physician in Ashland, Ohio. She went to Ohio University, College Of Osteopathic Medicine and graduated in 1994 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Patheous Medical Pllc and her current practice location is
1025 Center St, Ashland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 289-0491.
Teri L Gourley is licensed to practice in Ohio (license number 34-006332G) 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 1326065889.
Physician's Profile
| Full Name | Teri L Gourley |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 32 Years |
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| Location | 1025 Center St, Ashland, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Teri L Gourley attended and graduated from Ohio University, College Of Osteopathic Medicine in 1994
NPI Data:
- NPI Number: 1326065889
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 02/20/2008
Medicare PECOS Information:
- PECOS PAC ID: 0345154928
- Enrollment ID: I20170531001534
Medical Identifiers
Medical identifiers for Teri L Gourley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326065889 | NPI | - | NPPES |
| 2020860 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 34-006332G (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Patheous Medical Pllc | 8921458720 | 18 |
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. Teri L Gourley allows following entities to bill medicare on her behalf.
| Entity Name | Patheous Medical PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366121527
PECOS PAC ID: 8921458720
Enrollment ID: O20240201001450 |
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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. Teri L Gourley 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 |
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Teri L Gourley, DO
75 Remit Dr, Lockbox 1056,
Chicago, IL 60675-1056
Ph: (866) 916-5259 | Teri L Gourley, DO
1025 Center St,
Ashland, OH 44805-4011
Ph: (419) 289-0491 |
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