Dr Dale M Goughnour, DPM is a medicare enrolled "Podiatrist" provider in Portage, Pennsylvania. He went to Kent State University College Of Podiatric Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Podiatry. 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 | Podiatry |
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| Experience | 24 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. |
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Medical Education and Training:
- Dr Dale M Goughnour attended and graduated from Kent State University College Of Podiatric Medicine in 2000
NPI Data:
- NPI Number: 1831267806
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8325002702
- Enrollment ID: I20041116000269
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 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. Dr Dale M Goughnour allows following entities to bill medicare on his behalf.
| Provider Name | Lovely Foot Associates Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346395258
PECOS PAC ID: 4688638042
Enrollment ID: O20041116000109 |
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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. 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 |
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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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