Milwida Cordova Goquingco, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bloomfield, New Jersey. Her current practice location is
1129 Broad St, Bloomfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 338-3620.
Milwida Cordova Goquingco is licensed to practice in New Jersey (license number 40QA00477100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336852516.
Physician's Profile
| Full Name | Milwida Cordova Goquingco |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1129 Broad St, Bloomfield, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336852516
- Provider Enumeration Date: 01/03/2023
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981074101
- Enrollment ID: I20230105000393
Medical Identifiers
Medical identifiers for Milwida Cordova Goquingco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336852516 | NPI | - | NPPES |
| NA | Other | | PHYSICAL THERAPIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 40QA00477100 (New Jersey) | 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. Milwida Cordova Goquingco allows following entities to bill medicare on her behalf.
| Entity Name | Bloomfield Total Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639105380
PECOS PAC ID: 1850387010
Enrollment ID: O20040903000802 |
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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. Milwida Cordova Goquingco 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 |
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Milwida Cordova Goquingco,
1129 Broad St,
Bloomfield, NJ 07003-3092
Ph: (973) 338-3620 | Milwida Cordova Goquingco,
1129 Broad St,
Bloomfield, NJ 07003-3092
Ph: (973) 338-3620 |
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