Laura Lynne Goulbourne, BS in Evansville, IN - Medicare Physical Therapist Provider

Laura Lynne Goulbourne, BS is a medicare enrolled "Physical Therapist" provider in Evansville, Indiana. Her current practice location is 415 Crosslake Dr Ste B, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 476-0409.

Laura Lynne Goulbourne is licensed to practice in * (Not Available) (license number ) 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 1154651719.

Contact Information

	Laura Lynne Goulbourne, BS
	415 Crosslake Dr Ste B, Evansville, IN 47715-8272
	(812) 476-0409
	(812) 476-0409

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Lynne Goulbourne
Gender	Female
Speciality	Physical Therapist
Location	415 Crosslake Dr Ste B, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154651719
Provider Enumeration Date: 01/05/2010
Last Update Date: 04/13/2020

Medicare PECOS Information:

PECOS PAC ID: 4981034139
Enrollment ID: I20200430002518

Medical Identifiers

Medical identifiers for Laura Lynne Goulbourne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154651719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	002881 (Kentucky)	Secondary
225100000X	Physical Therapist	(* (Not Available))	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. Laura Lynne Goulbourne allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518069913 PECOS PAC ID: 2163339722 Enrollment ID: O20221005000888

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. Laura Lynne Goulbourne 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
Laura Lynne Goulbourne, BS Po Box 5629, Evansville, IN 47716-5629 Ph: (502) 882-9379	Laura Lynne Goulbourne, BS 415 Crosslake Dr Ste B, Evansville, IN 47715-8272 Ph: (812) 476-0409

Reviews and Comments

Physical Therapist in Evansville, IN

Conner J Zuber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558 Fax: 812-474-2296
Arnaldo Santana Rodriguez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558
Ricky Kenneth Lockard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Rosenberger Ave, Evansville, IN 47712 Phone: 812-476-7000
Suzanne M Flamion, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14020 Old State Rd Ste D100, Evansville, IN 47725 Phone: 812-469-4770
Mary Beth Holbrook, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1328 N Weinbach Ave, Evansville, IN 47711 Phone: 812-550-6789
Kaylan Seng, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Bellemeade Ave, Evansville, IN 47714 Phone: 812-479-1411
Kayla Marie Lydon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5625 Pearl Dr Ste 100, Evansville, IN 47712 Phone: 812-759-7493 Fax: 812-401-2346

Laura Lynne Goulbourne, BS - Medicare Physical Therapist in Evansville, IN