Michael John Gothelf, MD is a
Radiology - Diagnostic Radiology physician based in Mill Valley, California. Michael John Gothelf is licensed to practice in California (license number G15676) and his current practice location is 115 Country Club Drive, Mill Valley, California. He can be reached at his office (for appointments etc.) via phone at
(415) 383-8947.
NPI number for Michael John Gothelf is 1932256468 and his current mailing address is 115 Country Club Drive, Mill Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932256468.
Physician's Profile
Full Name | Michael John Gothelf |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 115 Country Club Drive, Mill Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932256468
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Michael John Gothelf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932256468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | G15676 (California) | 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. Michael John Gothelf 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 |
Michael John Gothelf, MD 115 Country Club Drive, Mill Valley, CA 94941 Ph: (415) 383-8947 | Michael John Gothelf, MD 115 Country Club Drive, Mill Valley, CA 94941 Ph: (415) 383-8947 |
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