Samantha Goggin, MD in San Diego, CA

Samantha Goggin, MD is a medicare enrolled "Pediatrics" physician in San Diego, California. Her current practice location is 4060 Fairmount Ave, Pediatrics Department, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 255-9154.

Samantha Goggin is licensed to practice in California (license number A163693) 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 1023506367.

Contact Information

	Samantha Goggin, MD
	4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105-1608
	(619) 255-9154
	(619) 795-9847

Map and Direction

Physician's Profile

Full Name	Samantha Goggin
Gender	Female
Speciality	Pediatrics
Location	4060 Fairmount Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023506367
Provider Enumeration Date: 04/23/2018
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3870987803
Enrollment ID: I20220308001313

Medical Identifiers

Medical identifiers for Samantha Goggin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023506367	NPI	-	NPPES
132662	Other		AMERICAN BOARD OF PEDIATRICS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A163693 (California)	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. Samantha Goggin allows following entities to bill medicare on her behalf.

Entity Name	La Maestra Family Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901

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. Samantha Goggin 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
Samantha Goggin, MD 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: () -	Samantha Goggin, MD 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105-1608 Ph: (619) 255-9154

Reviews and Comments

Pediatrics Doctors in San Diego, CA

Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082

Samantha Goggin, MD - Medicare Pediatrics in San Diego, CA