Carlos Rodrigo Goulart, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Polinsky Medical Rehabilitation Center, The Duluth Clinic Ltd and his current practice location is
20 York St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 688-4242.
Carlos Rodrigo Goulart is licensed to practice in Connecticut (license number ) 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 1104208305.
Physician's Profile
| Full Name | Carlos Rodrigo Goulart |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 12 Years |
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| Location | 20 York St, New Haven, Connecticut |
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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:
- Carlos Rodrigo Goulart graduated from medical school in 2014
NPI Data:
- NPI Number: 1104208305
- Provider Enumeration Date: 06/24/2015
- Last Update Date: 05/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 4082915129
- Enrollment ID: I20220701002192
Medical Identifiers
Medical identifiers for Carlos Rodrigo Goulart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104208305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | 69482 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Polinsky Medical Rehabilitation Center | 0941377360 | 378 |
| The Duluth Clinic Ltd | 2567374283 | 1121 |
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. Carlos Rodrigo Goulart allows following entities to bill medicare on his behalf.
| Entity Name | The Duluth Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229 |
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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. Carlos Rodrigo Goulart 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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Carlos Rodrigo Goulart, MD
20 York St,
New Haven, CT 06510-3220
Ph: (218) 786-8364 | Carlos Rodrigo Goulart, MD
20 York St,
New Haven, CT 06510-3220
Ph: (203) 688-4242 |
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