Jose Fernando Aycinena Goicolea, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Gainesville, Georgia. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice The Longstreet Clinic, Pc and his current practice location is
725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 536-2323.
Jose Fernando Aycinena Goicolea is licensed to practice in Georgia (license number 076114) 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 1245495787.
Physician's Profile
Full Name | Jose Fernando Aycinena Goicolea |
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Gender | Male |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 22 Years |
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Location | 725 Jesse Jewell Pkwy Se, Gainesville, Georgia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jose Fernando Aycinena Goicolea graduated from medical school in 2002
NPI Data:
- NPI Number: 1245495787
- Provider Enumeration Date: 07/24/2008
- Last Update Date: 05/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345411906
- Enrollment ID: I20161027000980
Medical Identifiers
Medical identifiers for Jose Fernando Aycinena Goicolea such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245495787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 076114 (Georgia) | Secondary |
208C00000X | Colon & Rectal Surgery | 076114 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Longstreet Clinic, Pc | 2668465733 | 145 |
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. Jose Fernando Aycinena Goicolea allows following entities to bill medicare on his behalf.
Entity Name | The Longstreet Clinic, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
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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. Jose Fernando Aycinena Goicolea 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 |
Jose Fernando Aycinena Goicolea, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Jose Fernando Aycinena Goicolea, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 536-2323 |
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