Dr John Theodore Golden, MD is a
General Practice physician based in Roseville, Michigan. Dr John Theodore Golden is licensed to practice in Michigan (license number JG052077) and his current practice location is 25990 Kelly Rd, Suite 4, Roseville, Michigan. He can be reached at his office (for appointments etc.) via phone at
(586) 776-0808.
NPI number for Dr John Theodore Golden is 1235127077 and his current mailing address is 25990 Kelly Rd, Suite 4, Roseville, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235127077.
Physician's Profile
| Full Name | Dr John Theodore Golden |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 25990 Kelly Rd, Roseville, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235127077
- Provider Enumeration Date: 10/06/2005
- Last Update Date: 03/25/2017
Medical Identifiers
Medical identifiers for Dr John Theodore Golden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235127077 | NPI | - | NPPES |
| 2665188 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | JG052077 (Michigan) | Primary |
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 Theodore Golden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Theodore Golden, MD
25990 Kelly Rd, Suite 4,
Roseville, MI 48066-4483
Ph: (586) 776-0808 | Dr John Theodore Golden, MD
25990 Kelly Rd, Suite 4,
Roseville, MI 48066-4483
Ph: (586) 776-0808 |
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