Amanda Faye Gogan, is a
Massage Therapist based in Salem, West Virginia. Amanda Faye Gogan is licensed to practice in West Virginia (license number 2019-3712) and her current practice location is
195 W Main St, Salem, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 871-3053.
NPI number for Amanda Faye Gogan is 1154990166 and her current mailing address is 195 W Main St, Salem, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154990166.
Healthcare Provider's Profile
| Full Name | Amanda Faye Gogan |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 195 W Main St, Salem, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154990166
- Provider Enumeration Date: 06/23/2021
- Last Update Date: 04/06/2022
Medical Identifiers
Medical identifiers for Amanda Faye Gogan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154990166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 2019-3712 (West Virginia) | 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. Amanda Faye Gogan 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 |
Amanda Faye Gogan, 195 W Main St, Salem, WV 26426-1229 Ph: (304) 871-3053 | Amanda Faye Gogan, 195 W Main St, Salem, WV 26426-1229 Ph: (304) 871-3053 |
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