Dr Jordan Goetz, MD is a medicare enrolled "Internal Medicine" physician in Yalesville, Connecticut. His current practice location is
60 Church St, Yalesville, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 284-9099.
Dr Jordan Goetz is licensed to practice in Connecticut (license number 031252) 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 1104893171.
Physician's Profile
| Full Name | Dr Jordan Goetz |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 60 Church St, Yalesville, Connecticut |
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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: 1104893171
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 05/20/2008
Medicare PECOS Information:
- PECOS PAC ID: 9537163928
- Enrollment ID: I20150911001598
Medical Identifiers
Medical identifiers for Dr Jordan Goetz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104893171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 031252 (Connecticut) | 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 Jordan Goetz 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 Jordan Goetz, MD
60 Church St,
Yalesville, CT 06492
Ph: (203) 284-9099 | Dr Jordan Goetz, MD
60 Church St,
Yalesville, CT 06492
Ph: (203) 284-9099 |
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