Mr John L Welborn Iv, FNP-C - Medicare Nurse Practitioner in Gouverneur, NY

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Mr John L Welborn Iv, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gouverneur, New York. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Thrive Wellness And Recovery Inc, Gouverneur Hospital and his current practice location is 77 W Barney St, Gouverneur, New York. You can reach out to his office (for appointments etc.) via phone at (315) 261-6333.

Mr John L Welborn Iv is licensed to practice in New York (license number F337418) 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 1427496835.

Contact Information

Mr John L Welborn Iv, FNP-C
77 W Barney St,
Gouverneur, NY 13642-1040
(315) 261-6333
Not Available

Map and Direction




Provider's Profile

Full NameMr John L Welborn Iv
GenderMale
SpecialityNurse Practitioner
Experience14 Years
Location77 W Barney St, Gouverneur, New York
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:
  • Mr John L Welborn Iv graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1427496835
  • Provider Enumeration Date: 06/07/2013
  • Last Update Date: 11/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6507093309
  • Enrollment ID: I20131227000901

Medical Identifiers

Medical identifiers for Mr John L Welborn Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427496835NPI-NPPES
F337418OtherNYLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F337418 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thrive Wellness And Recovery Inc70121333905
Gouverneur Hospital993133672425

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. Mr John L Welborn Iv allows following entities to bill medicare on his behalf.
Entity NameThrive Wellness And Recovery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659389021
PECOS PAC ID: 7012133390
Enrollment ID: O20140722001978
Entity NameGouverneur Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295156412
PECOS PAC ID: 9931336724
Enrollment ID: O20140911000087

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. Mr John L Welborn Iv 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
Mr John L Welborn Iv, FNP-C
77 W Barney St,
Gouverneur, NY 13642-1040

Ph: (315) 287-1000		Mr John L Welborn Iv, FNP-C
77 W Barney St,
Gouverneur, NY 13642-1040

Ph: (315) 261-6333

Reviews and Comments


Nurse Practitioner Nurses in Gouverneur, NY

Meghan Mcgowan, CPNP-PC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 77 W Barney St, Gouverneur, NY 13642
Phone: 315-535-1300    
Laurie Faye Brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 77 W Barney St, Gouverneur, NY 13642
Phone: 315-287-1000    Fax: 315-535-9207
Tara Hyneman,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Barney St, Gouverneur, NY 13642
Phone: 315-287-1000    
Mrs. Rachel I Raven, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 77 W. Barney St., Gouverneur, NY 13642
Phone: 315-261-5871    Fax: 315-714-3068
Matthew David Zegil, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 77 W Barney St, Gouverneur, NY 13642
Phone: 315-287-1000    

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).

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