Mrs Mica Rae Goehner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dagsboro, Delaware. Her current practice location is
31038 Country Gdns Ste D2, Dagsboro, Delaware. You can reach out to her office (for appointments etc.) via phone at
(025) 890-0193.
Mrs Mica Rae Goehner is licensed to practice in Delaware (license number LG-0011594) 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 1538744230.
Provider's Profile
Full Name | Mrs Mica Rae Goehner |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 31038 Country Gdns Ste D2, Dagsboro, Delaware |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538744230
- Provider Enumeration Date: 03/14/2021
- Last Update Date: 04/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214326875
- Enrollment ID: I20211119001590
Medical Identifiers
Medical identifiers for Mrs Mica Rae Goehner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538744230 | NPI | - | NPPES |
LG-001594 | Other | DE | DE FNP LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | LG-0011594 (Delaware) | 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 Mica Rae Goehner allows following entities to bill medicare on her behalf.
Entity Name | Peninsula Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316198062 PECOS PAC ID: 7416019765 Enrollment ID: O20081219000268 |
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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 Mica Rae Goehner 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 Mica Rae Goehner, FNP 31038 Country Gdns Ste D2, Dagsboro, DE 19939-5410 Ph: (302) 589-0019 | Mrs Mica Rae Goehner, FNP 31038 Country Gdns Ste D2, Dagsboro, DE 19939-5410 Ph: (025) 890-0193 |
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