Jerry L Goddard, MD - Medicare Family Practice in Carbondale, IL

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Jerry L Goddard, MD is a medicare enrolled "Family Medicine" physician in Carbondale, Illinois. He went to Tulane University School Of Medicine and graduated in 1970 and has 54 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Board Of Trustees Of Southern Illinois University and his current practice location is 305 W Jackson St, Ste 200, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 536-6621.

Jerry L Goddard is licensed to practice in Illinois (license number 036-054846) 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 1295711240.

Contact Information

Jerry L Goddard, MD
305 W Jackson St, Ste 200,
Carbondale, IL 62901-1474
(618) 536-6621
(618) 453-1102

Map and Direction




Physician's Profile

Full NameJerry L Goddard
GenderMale
SpecialityFamily Practice
Experience54 Years
Location305 W Jackson St, Carbondale, Illinois
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:
  • Jerry L Goddard attended and graduated from Tulane University School Of Medicine in 1970
  NPI Data:
  • NPI Number: 1295711240
  • Provider Enumeration Date: 12/21/2005
  • Last Update Date: 12/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436259058
  • Enrollment ID: I20080326000046

Medical Identifiers

Medical identifiers for Jerry L Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295711240NPI-NPPES
036054846MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 036-054846 (Illinois)Secondary
207Q00000XFamily Medicine 036-054846 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Board Of Trustees Of Southern Illinois University448666788896

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. Jerry L Goddard allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Hospital Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528158573
PECOS PAC ID: 2961310966
Enrollment ID: O20031211000718
Entity NameSiu Physicians & Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558385989
PECOS PAC ID: 2365352820
Enrollment ID: O20031222000769
Entity NameBoard Of Trustees Of Southern Illinois University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396097960
PECOS PAC ID: 4486667888
Enrollment ID: O20130424001019

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. Jerry L Goddard 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
Jerry L Goddard, MD
305 W Jackson St, Ste 200,
Carbondale, IL 62901-1474

Ph: (618) 536-6621		Jerry L Goddard, MD
305 W Jackson St, Ste 200,
Carbondale, IL 62901-1474

Ph: (618) 536-6621

Reviews and Comments


Family Medicine Doctors in Carbondale, IL

Ashmeet Singh Sahni, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 300 W Oak St Ste 200, Carbondale, IL 62901
Phone: 618-536-6621    
Thomas Murphy, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901
Phone: 618-536-6621    
Sandhya Rani Grandhi,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-457-4542
Brian Jay Reach, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 W Oak St, Carbondale, IL 62901
Phone: 217-545-8000    
Jordyn Audrey Drake, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 300 W Oak St, Carbondale, IL 62901
Phone: 618-536-6621    
Scott K Schonewolf, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 W Jackson St, Suite 200, Carbondale, IL 62901
Phone: 618-453-3777    Fax: 618-453-1102
Artemus Holguin-mills, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 300 W Oak St, Carbondale, IL 62901
Phone: 618-536-6621    

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.