Dr John Price Gouldy, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Imperial, California. His current practice location is
2302 Brown Road, Imperial, California. You can reach out to his office (for appointments etc.) via phone at
(760) 337-7900.
Dr John Price Gouldy is licensed to practice in California (license number A79959) 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 1083894117.
Physician's Profile
| Full Name | Dr John Price Gouldy |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 2302 Brown Road, Imperial, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083894117
- Provider Enumeration Date: 11/06/2007
- Last Update Date: 10/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 6709801004
- Enrollment ID: I20110713000188
Medical Identifiers
Medical identifiers for Dr John Price Gouldy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083894117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | A79959 (California) | 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 John Price Gouldy allows following entities to bill medicare on his behalf.
| Entity Name | John Gouldy, Md, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073867651
PECOS PAC ID: 9638315641
Enrollment ID: O20130418000021 |
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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 John Price Gouldy 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 John Price Gouldy, MD
3505 Boca Chica Blvd Ste 110,
Brownsville, TX 78521-4064
Ph: (956) 544-3191 | Dr John Price Gouldy, MD
2302 Brown Road,
Imperial, CA 92251-0731
Ph: (760) 337-7900 |
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