Dr Dwight Justin Goddard, MD in Newark, OH

Dr Dwight Justin Goddard, MD is a medicare enrolled "Family Medicine" physician in Newark, Ohio. He went to University Of California, Geffen School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Licking Memorial Professional Corporation and his current practice location is 270 Goosepond Rd, Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at (220) 564-7960.

Dr Dwight Justin Goddard is licensed to practice in Ohio (license number 35.137356) 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 1407835572.

Contact Information

	Dr Dwight Justin Goddard, MD
	270 Goosepond Rd, Newark, OH 43055-3104
	(220) 564-7960
	(220) 564-7961

Map and Direction

Physician's Profile

Full Name	Dr Dwight Justin Goddard
Gender	Male
Speciality	Family Practice
Experience	38 Years
Location	270 Goosepond Rd, Newark, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Dwight Justin Goddard attended and graduated from University Of California, Geffen School Of Medicine in 1987

NPI Data:

NPI Number: 1407835572
Provider Enumeration Date: 01/17/2006
Last Update Date: 12/12/2022

Medicare PECOS Information:

PECOS PAC ID: 9931150356
Enrollment ID: I20200723003524

Medical Identifiers

Medical identifiers for Dr Dwight Justin Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407835572	NPI	-	NPPES
G63539	Other	CA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G63539 (California)	Secondary
207Q00000X	Family Medicine	35.137356 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Licking Memorial Hospital	Newark, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Licking Memorial Professional Corporation	6204740731	202

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 Dwight Justin Goddard allows following entities to bill medicare on his behalf.

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	Licking Memorial Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131

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 Dwight Justin Goddard 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
Dr Dwight Justin Goddard, MD 270 Goosepond Rd, Newark, OH 43055-3104 Ph: (220) 564-7960	Dr Dwight Justin Goddard, MD 270 Goosepond Rd, Newark, OH 43055-3104 Ph: (220) 564-7960

Reviews and Comments

Family Medicine Doctors in Newark, OH

Dr. Carl Waggoner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1272 W Main St, Bldg. 5, Newark, OH 43055 Phone: 740-348-1788 Fax: 740-348-1789
Dr. Talya Greathouse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 W Main St, Suite 200, Newark, OH 43055 Phone: 220-564-1706 Fax: 220-564-1707
Dr. Pattye Whisman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Mcmillen Dr, Newark, OH 43055 Phone: 220-564-4827 Fax: 220-564-1894
Dr. Matthew R Harris, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1272 W Main St Ste 503, Newark, OH 43055 Phone: 220-564-1778 Fax: 220-564-1779
Katrina M Timson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 399 E Main St, Newark, OH 43055 Phone: 220-564-1846 Fax: 220-564-1847
Donald J Fairbanks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Goosepond Rd, Newark, OH 43055 Phone: 220-564-7960 Fax: 220-564-7961
Dr. Michael Eugene Campolo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1930 Tamarack Rd, Newark, OH 43055 Phone: 740-522-7600 Fax: 740-522-6399

Dr Dwight Justin Goddard, MD - Medicare Family Practice in Newark, OH