Dr Jacquelynn Michelle Gould, MD - Medicare Family Practice in Scottsbluff, NE

Dr Jacquelynn Michelle Gould, MD is a medicare enrolled "Hospitalist" physician in Scottsbluff, Nebraska. She went to University Of Colorado School Of Medicine, Denver and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Poudre Valley Medical Group Llc and her current practice location is 4021 Avenue B, Scottsbluff, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 630-2920.

Dr Jacquelynn Michelle Gould is licensed to practice in Nebraska (license number 30619) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588799639.

Contact Information

Dr Jacquelynn Michelle Gould, MD
4021 Avenue B,
Scottsbluff, NE 69361-4602
(308) 630-2920
Not Available



Physician's Profile

Full NameDr Jacquelynn Michelle Gould
GenderFemale
SpecialityFamily Practice
Experience19 Years
Location4021 Avenue B, Scottsbluff, Nebraska
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacquelynn Michelle Gould attended and graduated from University Of Colorado School Of Medicine, Denver in 2005
  NPI Data:
  • NPI Number: 1588799639
  • Provider Enumeration Date: 02/22/2007
  • Last Update Date: 03/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395811376
  • Enrollment ID: I20080828000257

Medical Identifiers

Medical identifiers for Dr Jacquelynn Michelle Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588799639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 44789 (Colorado)Secondary
208M00000XHospitalist 30619 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Longs Peak HospitalLongmont, COHospital
Uchealth Broomfield HospitalBroomfield, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poudre Valley Medical Group Llc96382085491605

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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. Dr Jacquelynn Michelle Gould allows following entities to bill medicare on her behalf.
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

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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. Dr Jacquelynn Michelle Gould 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 AddressPractice Location Address
Dr Jacquelynn Michelle Gould, MD
2030 W Mountain View Ave, Suite 250,
Longmont, CO 80501-3178

Ph: (303) 651-5302
Dr Jacquelynn Michelle Gould, MD
4021 Avenue B,
Scottsbluff, NE 69361-4602

Ph: (308) 630-2920

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Hospitalist Doctors in Scottsbluff, NE

Mr. Jason James, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4021 Avenue B, Scottsbluff, NE 69361
Phone: 308-630-2920    
Dr. Frank Bonpietro, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4021 Avenue B, Scottsbluff, NE 69361
Phone: 308-630-2920    Fax: 308-630-1890

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