Deserae J Goble Md Pc in Logan, UT - Medicare Family Medicine

Deserae J Goble Md Pc is a medicare enrolled primary clinic (Family Medicine) in Logan, Utah. The current practice location for Deserae J Goble Md Pc is 1451 N 200 E Ste 250, Logan, Utah. For appointments, you can reach them via phone at (435) 363-7853. The mailing address for Deserae J Goble Md Pc is Po Box 5, Millville, Utah and phone number is (435) 232-4279.

Deserae J Goble Md Pc is licensed to practice in Utah (license number 5010200-1205). The clinic also participates in the medicare program and its NPI number is 1407232903. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (435) 363-7853.

Contact Information

	Deserae J Goble Md Pc
	1451 N 200 E Ste 250 Logan UT 84341-7570
	(435) 363-7853
	(435) 213-3785

Map and Direction

Primary Care Clinic Profile

Full Name	Deserae J Goble Md Pc
Speciality	Family Medicine
Location	1451 N 200 E Ste 250, Logan, Utah
Authorized Official Name and Position	Deserae Goble (OWNER)
Authorized Official Contact	4353637853
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Deserae J Goble Md Pc Po Box 5 Millville UT 84326-0005 Ph: (435) 232-4279	Deserae J Goble Md Pc 1451 N 200 E Ste 250 Logan UT 84341-7570 Ph: (435) 363-7853

NPI Details:

NPI Number	1407232903
Provider Enumeration Date	08/06/2015
Last Update Date	08/31/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	2860708898
Medicare Enrollment ID	O20150904001350

Medical Identifiers

Medical identifiers for Deserae J Goble Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407232903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5010200-1205 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Deserae J Goble Md Pc acts as a billing entity for following providers:

Provider Name	Deserae J Goble
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1366415770 PECOS PAC ID: 6002830239 Enrollment ID: I20071011000091

Reviews and Comments

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Deserae J Goble Md Pc - Medicare Primary Care in Logan, UT