Mr Alexander S Goch, CRNP in Johnstown, PA - Medicare Nurse Practitioner

Mr Alexander S Goch, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Johnstown, Pennsylvania. His current practice location is 618 Walters Ave, Johnstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 418-3824.

Mr Alexander S Goch is licensed to practice in Pennsylvania (license number SP028154) 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 1265218275.

Contact Information

	Mr Alexander S Goch, CRNP
	618 Walters Ave, Johnstown, PA 15904-1255
	(814) 418-3824
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Alexander S Goch
Gender	Male
Speciality	Nurse Practitioner - Family
Location	618 Walters Ave, Johnstown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265218275
Provider Enumeration Date: 09/05/2023
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0648626861
Enrollment ID: I20231025000072

Medical Identifiers

Medical identifiers for Mr Alexander S Goch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265218275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP028154 (Pennsylvania)	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. Mr Alexander S Goch allows following entities to bill medicare on his behalf.

Entity Name	Tridentusa Mobile Clinical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942554837 PECOS PAC ID: 6709030133 Enrollment ID: O20140429000780

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 Alexander S Goch 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
Mr Alexander S Goch, CRNP 618 Walters Ave, Johnstown, PA 15904-1255 Ph: (814) 418-3824	Mr Alexander S Goch, CRNP 618 Walters Ave, Johnstown, PA 15904-1255 Ph: (814) 418-3824

Reviews and Comments

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Brittany Louise Walker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Scalp Ave Ste 2100, Johnstown, PA 15904 Phone: 814-269-5211
Lori Beth Claycomb, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 College Park Plz, Johnstown, PA 15904 Phone: 814-263-5804

Mr Alexander S Goch, CRNP - Medicare Nurse Practitioner in Johnstown, PA