John N Goetz, MD is a
Pediatrics physician based in Port Washington, Wisconsin. John N Goetz is licensed to practice in Wisconsin (license number 24926) and his current practice location is 1777 W Grand Ave, Port Washington, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 284-3456.
NPI number for John N Goetz is 1871525014 and his current mailing address is 3003 W Good Hope Rd, Milwaukee, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871525014.
Physician's Profile
| Full Name | John N Goetz |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1777 W Grand Ave, Port Washington, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871525014
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 11/22/2021
Medical Identifiers
Medical identifiers for John N Goetz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871525014 | NPI | - | NPPES |
| 30456800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 24926 (Wisconsin) | Primary |
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. John N Goetz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John N Goetz, MD
3003 W Good Hope Rd,
Milwaukee, WI 53209
Ph: (414) 352-3100 | John N Goetz, MD
1777 W Grand Ave,
Port Washington, WI 53074
Ph: (262) 284-3456 |
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