Miss Madison Brooke Gough, in Farmington, CT - Medicare Physician Assistant

Miss Madison Brooke Gough, is a medicare enrolled "Physician Assistant - Surgical" in Farmington, Connecticut. Her current practice location is 263 Farmington Ave, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 679-2000.

Miss Madison Brooke Gough is licensed to practice in * (Not Available) (license number ) 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 1972247492.

Contact Information

	Miss Madison Brooke Gough,
	263 Farmington Ave, Farmington, CT 06030-0002
	(860) 679-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Madison Brooke Gough
Gender	Female
Speciality	Physician Assistant - Surgical
Location	263 Farmington Ave, Farmington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972247492
Provider Enumeration Date: 04/21/2022
Last Update Date: 04/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6305216631
Enrollment ID: I20230103001902

Medical Identifiers

Medical identifiers for Miss Madison Brooke Gough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972247492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	(* (Not Available))	Primary

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. Miss Madison Brooke Gough 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
Miss Madison Brooke Gough, 263 Farmington Farmington Ave, Farmington, CT 06030-0001 Ph: (832) 917-8264	Miss Madison Brooke Gough, 263 Farmington Ave, Farmington, CT 06030-0002 Ph: (860) 679-2000

Reviews and Comments

Physician Assistant Nurses in Farmington, CT

Mr. Jason S. Pinho, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave Ste 110, Farmington, CT 06032 Phone: 860-549-3210
Lisa Petricca, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815
Alexandra Shaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6649
Ed Haggag, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Birdseye Rd Ste 260, Farmington, CT 06032 Phone: 203-518-8414
Mr. Paul Christopher Polzella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave, Suite 210, Farmington, CT 06032 Phone: 860-548-7338 Fax: 860-674-4232
Mrs. Heather Hansen Kurtzman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Emergency Department, Farmington, CT 06030 Phone: 860-679-2588
Courtney Ann Scott, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 599 Farmington Ave Fl 2, Farmington, CT 06032 Phone: 860-837-9600

Miss Madison Brooke Gough, - Medicare Physician Assistant in Farmington, CT