Jamis Barton Scot Gouge, MD in Salt Lake City, UT

Jamis Barton Scot Gouge, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Salt Lake City, Utah. His current practice location is Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2121.

Jamis Barton Scot Gouge is licensed to practice in Utah (license number 13896067-1205) 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 1750777355.

Contact Information

	Jamis Barton Scot Gouge, MD
	Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112
	(801) 581-2121
	Not Available

Map and Direction

Physician's Profile

Full Name	Jamis Barton Scot Gouge
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750777355
Provider Enumeration Date: 04/09/2015
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8426378837
Enrollment ID: I20240226002370

Medical Identifiers

Medical identifiers for Jamis Barton Scot Gouge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750777355	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	97253 (Georgia)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	13896067-1205 (Utah)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	13896067-1205 (Utah)	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. Jamis Barton Scot Gouge allows following entities to bill medicare on his behalf.

Entity Name	The Corporation Of Mercer University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174693162 PECOS PAC ID: 7618968066 Enrollment ID: O20040524000431

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

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. Jamis Barton Scot Gouge 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
Jamis Barton Scot Gouge, MD Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112 Ph: (801) 581-2121	Jamis Barton Scot Gouge, MD Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112 Ph: (801) 581-2121

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Pulmonary Disease Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Jamis Barton Scot Gouge, MD - Medicare Internal Medicine in Salt Lake City, UT