Collette Gould, PA-C in Manchester, CT - Medicare Physician Assistant

Collette Gould, PA-C is a medicare enrolled "Physician Assistant" in Manchester, Connecticut. Her current practice location is 515 Middle Tpke W, Manchester, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 533-4176.

Collette Gould is licensed to practice in Connecticut (license number 6253) 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 1205611431.

Contact Information

	Collette Gould, PA-C
	515 Middle Tpke W, Manchester, CT 06040-3816
	(860) 533-4176
	(860) 649-5219

Provider's Profile

Full Name	Collette Gould
Gender	Female
Speciality	Physician Assistant
Location	515 Middle Tpke W, Manchester, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205611431
Provider Enumeration Date: 08/28/2023
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1153776422
Enrollment ID: I20231116000366

Medical Identifiers

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

Identifier	Type	State	Issuer
1205611431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	6253 (Connecticut)	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. Collette 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
Collette Gould, PA-C 515 Middle Tpke W, Manchester, CT 06040-3816 Ph: (860) 533-4176	Collette Gould, PA-C 515 Middle Tpke W, Manchester, CT 06040-3816 Ph: (860) 533-4176

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Physician Assistant Nurses in Manchester, CT

Shane Thomas Joy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 256 N Main St, Manchester, CT 06042 Phone: 860-696-2300
Samuel Lamana, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 935 Main St, Manchester, CT 06040 Phone: 860-527-5803 Fax: 860-525-3687
Jyoti Mittal, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4176
Danielle Kirei, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222
Mr. David C Woodworth, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 277 Middle Tpke W, Manchester, CT 06040 Phone: 860-432-4640 Fax: 860-432-4759
Andrea Lynch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-533-6595 Fax: 860-533-6594
Faraz Mohammad Sabir, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-647-6475

Collette Gould, PA-C - Medicare Physician Assistant in Manchester, CT