DR. MARC ELLIOTT GOSNELL MD
NPI 1043063654
Student in an Organized Health Care Education/Training Program in Elkhorn, WI

Q: What is Marc Gosnell's NPI number?

The NPI number for Marc Gosnell is 1043063654. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Q: What is Marc Gosnell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Gosnell was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2024PECOS Enrolled

W3985 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-2121(262) 741-2178 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Marc Elliott Gosnell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARC ELLIOTT GOSNELL MD (NPI 1043063654) is an individual student in an organized health care education/training program in Elkhorn, Wisconsin, licensed in Wisconsin (100689851) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043063654

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MARC ELLIOTT GOSNELLCredential: MD

Location AddressW3985 COUNTY ROAD NNElkhorn, WI 53121-4337

Mailing Address3812 Sw 27th CtCape Coral, FL 33914-5496 · (239) 471-2318

Phone(262) 741-2121

Fax(262) 741-2178

Sole ProprietorNo

Enumeration DateApril 11, 2024

NPPES CertifiedApril 11, 2024

✔ NPI 1043063654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in WI · 100689851

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

W3985 COUNTY ROAD NN, Elkhorn, WI 53121

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc Elliott Gosnell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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