Dr Michelle Lynn Goedken, DO is a medicare enrolled "Dermatology" physician in Oro Valley, Arizona. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Desert Dermatology, Pllc and her current practice location is
1521 E Tangerine Rd Ste 161, Oro Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 771-0288.
Dr Michelle Lynn Goedken is licensed to practice in Arizona (license number 006346) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1609139138.
Physician's Profile
Full Name | Dr Michelle Lynn Goedken |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 12 Years |
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Location | 1521 E Tangerine Rd Ste 161, Oro Valley, Arizona |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Michelle Lynn Goedken graduated from medical school in 2012
NPI Data:
- NPI Number: 1609139138
- Provider Enumeration Date: 06/19/2012
- Last Update Date: 03/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537469077
- Enrollment ID: I20151204001707
Medical Identifiers
Medical identifiers for Dr Michelle Lynn Goedken such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609139138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 006346 (Arizona) | Secondary |
207N00000X | Dermatology | 006346 (Arizona) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Desert Dermatology, Pllc | 4385013721 | 2 |
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 Michelle Lynn Goedken allows following entities to bill medicare on her behalf.
Entity Name | Ironwood Dermatology, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558363465 PECOS PAC ID: 1153346127 Enrollment ID: O20051008000177 |
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Entity Name | Regency Skin Institute Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932630563 PECOS PAC ID: 5193097665 Enrollment ID: O20170817002453 |
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Entity Name | Desert Dermatology, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417673112 PECOS PAC ID: 4385013721 Enrollment ID: O20221207001748 |
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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 Michelle Lynn Goedken 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 Michelle Lynn Goedken, DO 2551 E Calle Sin Ruido, Tucson, AZ 85718-7337 Ph: (269) 370-0510 | Dr Michelle Lynn Goedken, DO 1521 E Tangerine Rd Ste 161, Oro Valley, AZ 85755-6217 Ph: (520) 771-0288 |
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