Dr Bruce I Goderez, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Hadley, Massachusetts. He went to University Of Virginia School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Psychiatry. His current practice location is
8 River Dr, Hadley, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 582-1839.
Dr Bruce I Goderez is licensed to practice in Massachusetts (license number 50762) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1023165503.
Physician's Profile
| Full Name | Dr Bruce I Goderez |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 48 Years |
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| Location | 8 River Dr, Hadley, Massachusetts |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bruce I Goderez attended and graduated from University Of Virginia School Of Medicine in 1976
NPI Data:
- NPI Number: 1023165503
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 10/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 8729021993
- Enrollment ID: I20050608000629
Medical Identifiers
Medical identifiers for Dr Bruce I Goderez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023165503 | NPI | - | NPPES |
| 3037746 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 50762 (Massachusetts) | Primary |
Medical Facilities Affiliation
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. Dr Bruce I Goderez allows following entities to bill medicare on his behalf.
| Entity Name | Valley Optimal Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326550435
PECOS PAC ID: 7416213442
Enrollment ID: O20171108000926 |
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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. Dr Bruce I Goderez 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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Dr Bruce I Goderez, MD
Po Box 380, 8 River Dr.,
Hadley, MA 01035-0380
Ph: (413) 582-1839 | Dr Bruce I Goderez, MD
8 River Dr,
Hadley, MA 01035-3540
Ph: (413) 582-1839 |
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