Jonathan C Gogol, PMHNP - Medicare Nurse Practitioner in Petersburg, VA

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Jonathan C Gogol, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Petersburg, Virginia. His current practice location is 416 3rd St Ste D, Petersburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 653-7009.

Jonathan C Gogol is licensed to practice in Virginia (license number 0024183300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437894748.

Contact Information

Jonathan C Gogol, PMHNP
416 3rd St Ste D,
Petersburg, VA 23803-3300
(804) 653-7009
(804) 773-4688

Map and Direction




Provider's Profile

Full NameJonathan C Gogol
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location416 3rd St Ste D, Petersburg, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437894748
  • Provider Enumeration Date: 05/02/2022
  • Last Update Date: 01/30/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3072994995
  • Enrollment ID: I20220722001423

Medical Identifiers

Medical identifiers for Jonathan C Gogol such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437894748NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024183300 (Virginia)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. Jonathan C Gogol allows following entities to bill medicare on his behalf.
Entity NameOtl Community Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679871784
PECOS PAC ID: 0941448211
Enrollment ID: O20130528000210
Entity NamePeace Of Mind Therapeutic Solutions,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477178218
PECOS PAC ID: 3577988484
Enrollment ID: O20200808000132

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. Jonathan C Gogol 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
Jonathan C Gogol, PMHNP
416 3rd St Ste D,
Petersburg, VA 23803-3300

Ph: (804) 653-7009		Jonathan C Gogol, PMHNP
416 3rd St Ste D,
Petersburg, VA 23803-3300

Ph: (804) 653-7009

Reviews and Comments


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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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