Irwin Gotbaum, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lake Helen, Florida. His current practice location is
137 Willow Dr, Lake Helen, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 228-2755.
Irwin Gotbaum is licensed to practice in Florida (license number OS 1654) 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 1396843876.
Physician's Profile
Full Name | Irwin Gotbaum |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 137 Willow Dr, Lake Helen, Florida |
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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: 1396843876
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4284642802
- Enrollment ID: I20060323000419
Medical Identifiers
Medical identifiers for Irwin Gotbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396843876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | OS 1654 (Florida) | 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. Irwin Gotbaum allows following entities to bill medicare on his behalf.
Entity Name | National Nuclear Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750377552 PECOS PAC ID: 8224020383 Enrollment ID: O20120723000303 |
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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. Irwin Gotbaum 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 |
Irwin Gotbaum, DO 840 Pleasant St, Lake Helen, FL 32744-3503 Ph: (386) 228-2451 | Irwin Gotbaum, DO 137 Willow Dr, Lake Helen, FL 32744-3121 Ph: (386) 228-2755 |
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