Dr Dale M Goughnour, DPM is a medicare enrolled "Podiatrist" provider in Portage, Pennsylvania. His current practice location is
220 Main St. Ste 100, Portage, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 736-5000.
Dr Dale M Goughnour is licensed to practice in Pennsylvania (license number SC004705L) 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 1831267806.
Healthcare Provider's Profile
Full Name | Dr Dale M Goughnour |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 220 Main St. Ste 100, Portage, 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. |
Medical Education and Training:
- Dr Dale M Goughnour attended and graduated from in
NPI Data:
- NPI Number: 1831267806
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Dale M Goughnour such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831267806 | NPI | - | NPPES |
GO1304835 | Other | PW | HIGHMARK |
304387 | Other | PA | UPMC |
043195 | Other | PA | UMWA |
01847551 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | SC004705L (Pennsylvania) | 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. Dr Dale M Goughnour 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 |
Dr Dale M Goughnour, DPM 220 Main St Ste 100, Portage, PA 15946-1119 Ph: (814) 736-5000 | Dr Dale M Goughnour, DPM 220 Main St. Ste 100, Portage, PA 15946-1119 Ph: (814) 736-5000 |
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