Dr Justin T Gathercoal, DO - Medicare Family Practice in San Angelo, TX

Dr Justin T Gathercoal, DO is a medicare enrolled "Family Medicine" physician in San Angelo, Texas. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 17th Medical Operations Squadron, Goodfellow Afb, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 654-3075.

Dr Justin T Gathercoal is licensed to practice in Pennsylvania (license number OS014673) 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 1861705865.

Contact Information

Dr Justin T Gathercoal, DO
17th Medical Operations Squadron, Goodfellow Afb,
San Angelo, TX 76908
(325) 654-3075
Not Available

Map and Direction




Physician's Profile

Full NameDr Justin T Gathercoal
GenderMale
SpecialityFamily Practice
Experience17 Years
Location17th Medical Operations Squadron, San Angelo, Texas
Accepts Medicare AssignmentsYes. 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 Justin T Gathercoal attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2007
  NPI Data:
  • NPI Number: 1861705865
  • Provider Enumeration Date: 07/19/2010
  • Last Update Date: 07/19/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0446472682
  • Enrollment ID: I20141104000695

Medical Identifiers

Medical identifiers for Dr Justin T Gathercoal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861705865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS014673 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301484

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 Justin T Gathercoal allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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 Justin T Gathercoal 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 AddressPractice Location Address
Dr Justin T Gathercoal, DO
271 Port Richardson Ave, Goodfellow Afb,
San Angelo, TX 76908

Ph: () -
Dr Justin T Gathercoal, DO
17th Medical Operations Squadron, Goodfellow Afb,
San Angelo, TX 76908

Ph: (325) 654-3075

Reviews and Comments


Family Medicine Doctors in San Angelo, TX

Irvin E. Zeitler Jr., DO
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Medicare: Not Enrolled in Medicare
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Phone: 325-658-1511    
Gary P Phillips, MD
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Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903
Phone: 325-658-1511    
Dr. Jack P Campbell, M.D.
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Medicare: Medicare Enrolled
Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903
Phone: 325-658-1511    Fax: 325-481-2166
Seth Sturdivant, MD
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Practice Location: 120 E Harris Ave, San Angelo, TX 76903
Phone: 325-481-6410    
Darrell T Herrington, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3605 Executive Dr, San Angelo, TX 76904
Phone: 325-949-9555    
Christopher C Peterson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2142 Sunset Dr, San Angelo, TX 76904
Phone: 325-245-4059    Fax: 325-245-4059
Mrs. Ashley Nicole Stovall, MSN, APRN, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2142 Sunset Dr, San Angelo, TX 76904
Phone: 325-747-2660    Fax: 325-747-2665

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.