Dr Edward Eugene Goetten, DO is a medicare enrolled "Emergency Medicine" physician in Jerseyville, Illinois. His current practice location is
401 W Prarie St., Jerseyville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 498-3834.
Dr Edward Eugene Goetten is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093828675.
Physician's Profile
Full Name | Dr Edward Eugene Goetten |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 401 W Prarie St., Jerseyville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093828675
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4981746708
- Enrollment ID: I20120420000290
Medical Identifiers
Medical identifiers for Dr Edward Eugene Goetten such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093828675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | (Illinois) | 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. Dr Edward Eugene Goetten allows following entities to bill medicare on his behalf.
Entity Name | Scotland County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205844982 PECOS PAC ID: 8224940366 Enrollment ID: O20040923000249 |
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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 Edward Eugene Goetten 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 Edward Eugene Goetten, DO 401 W Prairie St, Jerseyville, IL 62052-2550 Ph: (618) 498-3834 | Dr Edward Eugene Goetten, DO 401 W Prarie St., Jerseyville, IL 62052-2550 Ph: (618) 498-3834 |
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