Mrs Jenny Vanlora Goss, CNM in Dalton, GA - Medicare Advanced Practice Midwife

Mrs Jenny Vanlora Goss, CNM is a medicare enrolled "Advanced Practice Midwife" in Dalton, Georgia. Her current practice location is 1105 Burleyson Rd, Dalton, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 278-4640.

Mrs Jenny Vanlora Goss is licensed to practice in Georgia (license number RN261026) 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 1578984811.

Contact Information

	Mrs Jenny Vanlora Goss, CNM
	1105 Burleyson Rd, Dalton, GA 30720-3181
	(706) 278-4640
	(706) 275-6599

Map and Direction

Provider's Profile

Full Name	Mrs Jenny Vanlora Goss
Gender	Female
Speciality	Advanced Practice Midwife
Location	1105 Burleyson Rd, Dalton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578984811
Provider Enumeration Date: 01/03/2014
Last Update Date: 10/04/2021

Medicare PECOS Information:

PECOS PAC ID: 3375866155
Enrollment ID: I20230504002036

Medical Identifiers

Medical identifiers for Mrs Jenny Vanlora Goss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578984811	NPI	-	NPPES
003180417B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH0200X	Registered Nurse - Home Health	114271-30 (Wisconsin)	Secondary
367A00000X	Advanced Practice Midwife	RN261026 (Georgia)	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. Mrs Jenny Vanlora Goss allows following entities to bill medicare on her behalf.

Entity Name	Andalusia Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437202009 PECOS PAC ID: 7315043007 Enrollment ID: O20070425000603

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. Mrs Jenny Vanlora Goss 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
Mrs Jenny Vanlora Goss, CNM 105 Jw Plaza Dr Se Ste 1, Calhoun, GA 30701-1503 Ph: (706) 383-5622	Mrs Jenny Vanlora Goss, CNM 1105 Burleyson Rd, Dalton, GA 30720-3181 Ph: (706) 278-4640

Reviews and Comments

Advanced Practice Midwife Nurses in Dalton, GA

Ms. Sanna Rose Wagner, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720 Phone: 706-226-3373 Fax: 706-226-0845
Mrs. Susan Cockburn, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1105 Burleyson Rd, Dalton, GA 30720 Phone: 706-278-4640 Fax: 706-275-6599
Elizabeth Jean Day, C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720 Phone: 706-226-3373 Fax: 706-226-0845
Lauren Elizabeth Banaszak, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1105 Burleyson Rd, Dalton, GA 30720 Phone: 706-278-4640
Mrs. Joellen Wingate, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1105 Burleyson Rd, Dalton, GA 30720 Phone: 706-278-4640 Fax: 706-275-6599
Amy Elizabeth Van Orden, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720 Phone: 706-226-3373 Fax: 706-226-4256
Rita-marie Davis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1105 Burleyson Rd, Dalton, GA 30720 Phone: 706-278-4640 Fax: 706-275-6599

Mrs Jenny Vanlora Goss, CNM - Medicare Advanced Practice Midwife in Dalton, GA