Abby Ozment Goolsby, CRNP in Pelham, AL - Medicare Nurse Practitioner

Abby Ozment Goolsby, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Pelham, Alabama. Her current practice location is 30 Racquet Club Pkwy, Pelham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 620-1090.

Abby Ozment Goolsby is licensed to practice in Alabama (license number 1-148800) 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 1407328123.

Contact Information

	Abby Ozment Goolsby, CRNP
	30 Racquet Club Pkwy, Pelham, AL 35124-6185
	(205) 620-1090
	(205) 620-1153

Map and Direction

Provider's Profile

Full Name	Abby Ozment Goolsby
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	30 Racquet Club Pkwy, Pelham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407328123
Provider Enumeration Date: 12/19/2018
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 6103166780
Enrollment ID: I20190318002103

Medical Identifiers

Medical identifiers for Abby Ozment Goolsby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407328123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-148800 (Alabama)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	1-148800 (Alabama)	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. Abby Ozment Goolsby allows following entities to bill medicare on her behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	Vincentian Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851698310 PECOS PAC ID: 1557548161 Enrollment ID: O20110608000452

Entity Name	Samford University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588716021 PECOS PAC ID: 4587838354 Enrollment ID: O20111114000745

Entity Name	Baptist Health Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265496236 PECOS PAC ID: 3476457011 Enrollment ID: O20180124001442

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. Abby Ozment Goolsby 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
Abby Ozment Goolsby, CRNP 549 Edgecrest Dr, Homewood, AL 35209-5909 Ph: (147) 827-9151	Abby Ozment Goolsby, CRNP 30 Racquet Club Pkwy, Pelham, AL 35124-6185 Ph: (205) 620-1090

Reviews and Comments

Nurse Practitioner Nurses in Pelham, AL

Mrs. Stacy Eddleman Stuart, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Business Cir, Pelham, AL 35124 Phone: 205-255-3828 Fax: 334-625-7602
Alaina Shelton Contestabile, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 County Services Dr, Pelham, AL 35124 Phone: 205-663-1252 Fax: 205-663-3175
Mrs. Laura Ducote, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2970 Pelham Pkwy, Pelham, AL 35124 Phone: 205-621-6411
Mr. Matthew Corey Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124 Phone: 205-621-3778 Fax: 205-621-4835
Haley Jost, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124 Phone: 205-733-1130 Fax: 205-560-0451
Sidney Lankford Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Wild Timber Pkwy, Pelham, AL 35124 Phone: 205-586-2011
Kimberly Renee' Walton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Business Cir, Pelham, AL 35124 Phone: 205-255-3828

Abby Ozment Goolsby, CRNP - Medicare Nurse Practitioner in Pelham, AL