Mr Phillip Daniel Goldsborough, in Princess Anne, MD

Mr Phillip Daniel Goldsborough, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Princess Anne, Maryland. He went to Wake Forest University School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Axis Healthcare Group, Axis Healthcare Group, Three Lower Counties Community Services Inc and his current practice location is 12145 Elm St, Princess Anne, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 651-2204.

Mr Phillip Daniel Goldsborough is licensed to practice in Maryland (license number R193305) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750081550.

Contact Information

	Mr Phillip Daniel Goldsborough,
	12145 Elm St, Princess Anne, MD 21853-1358
	(410) 651-2204
	(410) 651-0790

Map and Direction

Provider's Profile

Full Name	Mr Phillip Daniel Goldsborough
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	12145 Elm St, Princess Anne, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Phillip Daniel Goldsborough attended and graduated from Wake Forest University School Of Medicine in 2022

NPI Data:

NPI Number: 1750081550
Provider Enumeration Date: 03/09/2023
Last Update Date: 07/31/2024

Medicare PECOS Information:

PECOS PAC ID: 2769848068
Enrollment ID: I20230511000898

Medical Identifiers

Medical identifiers for Mr Phillip Daniel Goldsborough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750081550	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R193305 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Peninsula Regional Medical Center	Salisbury, MD	Hospital
Medstar Saint Mary's Hospital	Leonardtown, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Axis Healthcare Group	1254409550	51
Axis Healthcare Group	1254409550	51
Three Lower Counties Community Services Inc	3678484300	67

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 Phillip Daniel Goldsborough allows following entities to bill medicare on his behalf.

Entity Name	Three Lower Counties Community Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093

Entity Name	Axis Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20120919000403

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 Phillip Daniel Goldsborough 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 Phillip Daniel Goldsborough, Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015	Mr Phillip Daniel Goldsborough, 12145 Elm St, Princess Anne, MD 21853-1358 Ph: (410) 651-2204

Reviews and Comments

Nurse Practitioner Nurses in Princess Anne, MD

Ms. Nancy V Lorsong, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 Phone: 410-651-6597 Fax: 410-651-6702
Mr. Charles Wheeler Novak, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790
Ms. Susan Elizabeth Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Backbone Rd, University Of Maryland Eastern Shore Health Center, Princess Anne, MD 21853 Phone: 410-651-6597 Fax: 410-651-6702
Ms. Julie Anne Kinhart, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790
Brittany Nichole Snoots, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12302 Somerset Ave Ste Ab, Princess Anne, MD 21853 Phone: 410-651-0300
Nancy E Drewer, CRNP-F Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-5135 Fax: 410-651-4682
Mrs. Tisa Massey Parsons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30434 Mount Vernon Rd, Princess Anne, MD 21853 Phone: 410-651-0350

Mr Phillip Daniel Goldsborough, - Medicare Nurse Practitioner in Princess Anne, MD