Terri Gould, PA in South Charleston, WV - Medicare Physician Assistant

Terri Gould, PA is a medicare enrolled "Physician Assistant" physician in South Charleston, West Virginia. Her current practice location is 4605 Maccorkle Ave Sw, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (330) 493-4443.

Terri Gould is licensed to practice in West Virginia (license number 00603) 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 1316087208.

Contact Information

	Terri Gould, PA
	4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311
	(330) 493-4443
	Not Available

Physician's Profile

Full Name	Terri Gould
Gender	Female
Speciality	Physician Assistant
Location	4605 Maccorkle Ave Sw, South Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316087208
Provider Enumeration Date: 02/08/2007
Last Update Date: 05/22/2008

Medicare PECOS Information:

PECOS PAC ID: 2567533847
Enrollment ID: I20080613000117

Medical Identifiers

Medical identifiers for Terri Gould such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316087208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	00603 (West Virginia)	Secondary
363A00000X	Physician Assistant	00603 (West Virginia)	Primary

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. Terri 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 Address	Practice Location Address
Terri Gould, PA 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443	Terri Gould, PA 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (330) 493-4443

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Terri Gould, PA - Medicare Physician Assistant in South Charleston, WV