Antonio Gobenciong, MD is a medicare enrolled "Family Medicine" provider in Macon, Georgia. He graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Permanente Medical Group Inc and his current practice location is
3780 Eisenhower Pkwy, Macon, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 633-5550.
Antonio Gobenciong is licensed to practice in Georgia (license number 009141) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164954319.
Healthcare Provider's Profile
| Full Name | Antonio Gobenciong |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 9 Years |
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| Location | 3780 Eisenhower Pkwy, Macon, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Antonio Gobenciong graduated from medical school in 2015
NPI Data:
- NPI Number: 1164954319
- Provider Enumeration Date: 03/28/2017
- Last Update Date: 12/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557613080
- Enrollment ID: I20201222002836
Medical Identifiers
Medical identifiers for Antonio Gobenciong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164954319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 009141 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Permanente Medical Group Inc | 8921910225 | 8376 |
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. Antonio Gobenciong allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Antonio Gobenciong 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 |
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Antonio Gobenciong, MD
3780 Eisenhower Pkwy,
Macon, GA 31206-0800
Ph: (478) 633-5550 | Antonio Gobenciong, MD
3780 Eisenhower Pkwy,
Macon, GA 31206-0800
Ph: (478) 633-5550 |
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