Shivraj Goyal, MD is a medicare enrolled "Internal Medicine" physician in Emporium, Pennsylvania. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Charles Cole Memorial Hospital and his current practice location is
288 Sizerville Rd, Emporium, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 486-0810.
Shivraj Goyal is licensed to practice in Pennsylvania (license number MD472078) 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 1376066282.
Physician's Profile
| Full Name | Shivraj Goyal |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 16 Years |
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| Location | 288 Sizerville Rd, Emporium, Pennsylvania |
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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. |
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Medical Education and Training:
- Shivraj Goyal graduated from medical school in 2008
NPI Data:
- NPI Number: 1376066282
- Provider Enumeration Date: 07/23/2017
- Last Update Date: 03/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345660502
- Enrollment ID: I20201009001089
Medical Identifiers
Medical identifiers for Shivraj Goyal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376066282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD472078 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Charles Cole Memorial Hospital | 3779487475 | 49 |
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. Shivraj Goyal allows following entities to bill medicare on his behalf.
| Entity Name | Charles Cole Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326161662
PECOS PAC ID: 3779487475
Enrollment ID: O20040310001269 |
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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. Shivraj Goyal 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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Shivraj Goyal, MD
1001 E 2nd St,
Coudersport, PA 16915-8161
Ph: (814) 274-9300 | Shivraj Goyal, MD
288 Sizerville Rd,
Emporium, PA 15834-3944
Ph: (814) 486-0810 |
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