Dr Mukund Godbole, MD is a medicare enrolled "Surgery" physician in Monmouth, Illinois. His current practice location is
1000 W Harlem Ave, Monmouth, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 734-3141.
Dr Mukund Godbole is licensed to practice in Mississippi (license number 17209) 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 1003996125.
Physician's Profile
Full Name | Dr Mukund Godbole |
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Gender | Male |
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Speciality | Surgery |
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Location | 1000 W Harlem Ave, Monmouth, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003996125
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 05/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 1052362613
- Enrollment ID: I20081107000383
Medical Identifiers
Medical identifiers for Dr Mukund Godbole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003996125 | NPI | - | NPPES |
C03242 | Other | MS | MEDICARE CAHABA |
P00269826 | Other | MS | PALMETTO MEDICARE RAILROA |
02820846 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 17209 (Mississippi) | 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 Mukund Godbole allows following entities to bill medicare on his behalf.
Entity Name | Julia Rackley Perry Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619934833 PECOS PAC ID: 1153312798 Enrollment ID: O20040525000980 |
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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 Mukund Godbole 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 Mukund Godbole, MD 1000 W Harlem Ave, Monmouth, IL 61462-1007 Ph: (309) 734-3141 | Dr Mukund Godbole, MD 1000 W Harlem Ave, Monmouth, IL 61462-1007 Ph: (309) 734-3141 |
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