Bradley Goll, - Medicare Certified Registered Nurse Anesthetist (crna) in Omak, WA

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Bradley Goll, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Omak, Washington. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Public Hospital District No 1 Of Mason County, Grant County Public Hospital District 1 and his current practice location is 810 Jasmine St, Omak, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 826-1760.

Bradley Goll is licensed to practice in Idaho (license number 50150) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770121089.

Contact Information

Bradley Goll,
810 Jasmine St,
Omak, WA 98841-9578
(509) 826-1760
Not Available

Map and Direction




Provider's Profile

Full NameBradley Goll
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location810 Jasmine St, Omak, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradley Goll graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1770121089
  • Provider Enumeration Date: 12/17/2019
  • Last Update Date: 12/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3476982794
  • Enrollment ID: I20200407001733

Medical Identifiers

Medical identifiers for Bradley Goll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770121089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 50150 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan HospitalMoses lake, WAHospital
Mason General Hospital & Family Of ClinicsShelton, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Public Hospital District No 1 Of Mason County034513927540
Grant County Public Hospital District 1993109569281

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. Bradley Goll allows following entities to bill medicare on his behalf.
Entity NameOkanogan County Public Hospital District No. 3
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387403
PECOS PAC ID: 6800707951
Enrollment ID: O20040128000027
Entity NameOkanogan Douglas County Hospital Dist 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205942257
PECOS PAC ID: 7810882792
Enrollment ID: O20040219000122
Entity NameGrant County Public Hospital District 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619086766
PECOS PAC ID: 9931095692
Enrollment ID: O20040227000602
Entity NamePublic Hospital District No 3 Of Whitman County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922009448
PECOS PAC ID: 7719875020
Enrollment ID: O20040309000090
Entity NameOkanogan County Public Hospital Dist No 4
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750443834
PECOS PAC ID: 9335051150
Enrollment ID: O20040323000641
Entity NameOkanogan County Public Hospital Dist No 4
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1164580700
PECOS PAC ID: 9335051150
Enrollment ID: O20061104000210
Entity NamePublic Hospital District No 1 Of Mason County
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1164650032
PECOS PAC ID: 0345139275
Enrollment ID: O20090921000676

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. Bradley Goll 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 AddressPractice Location Address
Bradley Goll,
1073 N Hiltonhead Way,
Eagle, ID 83616-5460

Ph: () -		Bradley Goll,
810 Jasmine St,
Omak, WA 98841-9578

Ph: (509) 826-1760

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Omak, WA

Mr. John Victor Morgan Cowley, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 810 Jasmine St, Omak, WA 98841
Phone: 509-826-1760    Fax: 509-826-7211
Eric Cy Mathison, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 810 Jasmine St, Omak, WA 98841
Phone: 509-826-1760    
Laurie Marie Duff, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 810 Jasmine St, Omak, WA 98841
Phone: 509-826-1760    
Jacob R Irving, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 810 Jasmine St, Omak, WA 98841
Phone: 509-826-1760    Fax: 509-826-7211
Billie J Scott, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 23 N Birch St, Omak, WA 98841
Phone: 832-421-0176    Fax: 530-229-3703
Daniel Garrison Crosby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 810 Jasmine St, Omak, WA 98841
Phone: 509-826-1760    Fax: 509-826-7211
Mr. Stephen K Both Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 208 S Main St, Omak, WA 98841
Phone: 325-660-5535    Fax: 325-692-6030

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.