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

Bradley Goll, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Omak, Washington. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice 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 Name	Bradley Goll
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	810 Jasmine St, Omak, Washington
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1770121089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	50150 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Hospital	Moses lake, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grant County Public Hospital District 1	9931095692	86

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 Name	Okanogan County Public Hospital District No. 3
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255387403 PECOS PAC ID: 6800707951 Enrollment ID: O20040128000027

Entity Name	Okanogan Douglas County Hospital Dist 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205942257 PECOS PAC ID: 7810882792 Enrollment ID: O20040219000122

Entity Name	Grant County Public Hospital District 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602

Entity Name	Okanogan County Public Hospital Dist No 4
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750443834 PECOS PAC ID: 9335051150 Enrollment ID: O20040323000641

Entity Name	Okanogan County Public Hospital Dist No 4
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1164580700 PECOS PAC ID: 9335051150 Enrollment ID: O20061104000210

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 Address	Practice 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 Cowley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments 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

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