Nicole Goossen, CF-SLP - Medicare Speech-Language Pathologist in Mandan, ND

Nicole Goossen, CF-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mandan, North Dakota. Her current practice location is 1702 E Main St Ste 103, Mandan, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 415-0000.

Nicole Goossen is licensed to practice in North Dakota (license number 2128) 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 1255060067.

Contact Information

Nicole Goossen, CF-SLP
1702 E Main St Ste 103,
Mandan, ND 58554-3818
(701) 415-0000
(833) 969-0195



Healthcare Provider's Profile

Full NameNicole Goossen
GenderFemale
SpecialitySpeech-language Pathologist
Location1702 E Main St Ste 103, Mandan, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255060067
  • Provider Enumeration Date: 06/07/2022
  • Last Update Date: 06/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971962069
  • Enrollment ID: I20230707001625

Medical Identifiers

Medical identifiers for Nicole Goossen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255060067NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 2128 (North Dakota)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. Nicole Goossen allows following entities to bill medicare on her behalf.
Provider NameKids In Motion, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1649736422
PECOS PAC ID: 1658614714
Enrollment ID: O20190514000923

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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. Nicole Goossen 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
Nicole Goossen, CF-SLP
1702 E Main St Ste 103,
Mandan, ND 58554-3818

Ph: (701) 415-0000
Nicole Goossen, CF-SLP
1702 E Main St Ste 103,
Mandan, ND 58554-3818

Ph: (701) 415-0000

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Speech-Language Pathologist in Mandan, ND

Desiree Crockford,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 901 Division St Nw, Mandan, ND 58554
Phone: 701-751-6500    
Mrs. Gail A Mayer, MS
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 309 Collins Ave, Mandan, ND 58554
Phone: 701-663-9531    
Mrs. Marti Jo Schuetzle, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2007 8th Ave Se, Mandan, ND 58554
Phone: 701-663-0922    
Teresa Rivera,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 901 Division St Nw, Mandan, ND 58554
Phone: 701-751-6500    
Lisa Watson, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 405 8th Ave Sw, Mandan, ND 58554
Phone: 701-663-7514    
Kelli Marie Stumpf, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1702 E Main St Ste 103, Mandan, ND 58554
Phone: 701-415-0000    Fax: 833-969-0195
Ms. Kathryn L Miller, MS
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 309 Collins Ave, Mandan, ND 58554
Phone: 701-663-9531    

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