Mrs Adrienne Bolan Goggans, CPNP-PC in Tallassee, AL

Mrs Adrienne Bolan Goggans, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Tallassee, Alabama. Her current practice location is 875 Friendship Rd, Tallassee, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 283-3111.

Mrs Adrienne Bolan Goggans is licensed to practice in Alabama (license number 1-155461) 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 1316554181.

Contact Information

	Mrs Adrienne Bolan Goggans, CPNP-PC
	875 Friendship Rd, Tallassee, AL 36078
	(334) 283-3111
	(334) 283-3656

Map and Direction

Provider's Profile

Full Name	Mrs Adrienne Bolan Goggans
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	875 Friendship Rd, Tallassee, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316554181
Provider Enumeration Date: 09/25/2020
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 0749694230
Enrollment ID: I20210125000793

Medical Identifiers

Medical identifiers for Mrs Adrienne Bolan Goggans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316554181	NPI	-	NPPES
261689	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	1-155461 (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. Mrs Adrienne Bolan Goggans allows following entities to bill medicare on her behalf.

Entity Name	Community Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819

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. Mrs Adrienne Bolan Goggans 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
Mrs Adrienne Bolan Goggans, CPNP-PC 875 Friendship Road, Tallassee, AL 36078 Ph: (334) 283-3111	Mrs Adrienne Bolan Goggans, CPNP-PC 875 Friendship Rd, Tallassee, AL 36078 Ph: (334) 283-3111

Reviews and Comments

Nurse Practitioner Nurses in Tallassee, AL

Mr. Deray Junior Williams, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-1060
Brandi Criswell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111
Elizabeth R Bacchus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2256 Gilmer Ave, Tallassee, AL 36078 Phone: 334-567-8633
Barbara Jean Watts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 Fax: 334-283-4162
Nicole G Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2639 Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-3975
Sekeita B Clausell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1608a Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-2291

Mrs Adrienne Bolan Goggans, CPNP-PC - Medicare Nurse Practitioner in Tallassee, AL