Betty Ann Gould, APRN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kanarraville, Utah. Her current practice location is
Hc 65 Box 164, Kanarraville, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 931-0063.
Betty Ann Gould is licensed to practice in Utah (license number 5158098-4405) 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 1487039996.
Provider's Profile
| Full Name | Betty Ann Gould |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | Hc 65 Box 164, Kanarraville, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487039996
- Provider Enumeration Date: 07/26/2015
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931418852
- Enrollment ID: I20151015001821
Medical Identifiers
Medical identifiers for Betty Ann Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487039996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 5158098-3102 (Utah) | Secondary |
| 163W00000X | Registered Nurse | 318108 (California) | Secondary |
| 163W00000X | Registered Nurse | RN63613 (Nevada) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN63613 (Nevada) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5158098-4405 (Utah) | 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. Betty Ann Gould allows following entities to bill medicare on her behalf.
| Entity Name | Main And Center Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265250823
PECOS PAC ID: 1456885722
Enrollment ID: O20241108000992 |
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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. Betty Ann Gould 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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Betty Ann Gould, APRN, FNP
Hc 65 Box 164,
Kanarraville, UT 84742-6502
Ph: (801) 931-0063 | Betty Ann Gould, APRN, FNP
Hc 65 Box 164,
Kanarraville, UT 84742-6502
Ph: (801) 931-0063 |
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