Nissa J Gossom, CNM in Allentown, PA - Medicare Advanced Practice Midwife

Nissa J Gossom, CNM is a medicare enrolled "Advanced Practice Midwife" in Allentown, Pennsylvania. Her current practice location is 1611 Pond Rd, Suite 401, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 398-7700.

Nissa J Gossom is licensed to practice in Pennsylvania (license number MW010224) 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 1659680130.

Contact Information

	Nissa J Gossom, CNM
	1611 Pond Rd, Suite 401, Allentown, PA 18104-2258
	(610) 398-7700
	Not Available

Map and Direction

Provider's Profile

Full Name	Nissa J Gossom
Gender	Female
Speciality	Advanced Practice Midwife
Location	1611 Pond Rd, Allentown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659680130
Provider Enumeration Date: 09/30/2010
Last Update Date: 12/18/2015

Medicare PECOS Information:

PECOS PAC ID: 3072793884
Enrollment ID: I20110211000259

Medical Identifiers

Medical identifiers for Nissa J Gossom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659680130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	MW010224 (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. Nissa J Gossom allows following entities to bill medicare on her behalf.

Entity Name	Lehigh Valley Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335

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. Nissa J Gossom 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
Nissa J Gossom, CNM Po Box 783311, Philadelphia, PA 19178-3311 Ph: () -	Nissa J Gossom, CNM 1611 Pond Rd, Suite 401, Allentown, PA 18104-2258 Ph: (610) 398-7700

Reviews and Comments

Advanced Practice Midwife Nurses in Allentown, PA

Mrs. Laurice S Dunning, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2200 W Hamilton St, Suite 212, Allentown, PA 18104 Phone: 610-435-8130 Fax: 610-435-4515
Jenna Freed, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2100 Mack Blvd Fl 4, Allentown, PA 18103 Phone: 484-884-4500
Anna Noel Hankins, RN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1245 S Cedar Crest Blvd Ste 201, Allentown, PA 18103 Phone: 610-402-4870
Mrs. Jane M Wappelhorst, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2200 W Hamilton St, Suite 212, Allentown, PA 18104 Phone: 610-435-8130 Fax: 610-435-4515
Honi Trauger, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1611 Pond Rd Ste 300, Allentown, PA 18104 Phone: 610-398-7700
Ms. Christina Louise Felten, MSN,CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1611 Pond Rd, 401, Allentown, PA 18104 Phone: 610-398-7700 Fax: 610-398-6913

Nissa J Gossom, CNM - Medicare Advanced Practice Midwife in Allentown, PA