Clarence E Goulding Iii, MD - Medicare Emergency Medicine in Johnson City, TN

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Clarence E Goulding Iii, MD is a medicare enrolled "Emergency Medicine" physician in Johnson City, Tennessee. His current practice location is 200 Med Tech Pkwy, Suite 108, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 915-5033.

Clarence E Goulding Iii is licensed to practice in Tennessee (license number 15893) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033292362.

Contact Information

Clarence E Goulding Iii, MD
200 Med Tech Pkwy, Suite 108,
Johnson City, TN 37604-2278
(423) 915-5033
(423) 952-3777

Map and Direction




Physician's Profile

Full NameClarence E Goulding Iii
GenderMale
SpecialityEmergency Medicine
Location200 Med Tech Pkwy, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033292362
  • Provider Enumeration Date: 10/23/2006
  • Last Update Date: 02/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6406863810
  • Enrollment ID: I20090115000317

Medical Identifiers

Medical identifiers for Clarence E Goulding Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033292362NPI-NPPES
3017571MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 15893 (Tennessee)Primary
207Q00000XFamily Medicine 15893 (Tennessee)Secondary

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. Clarence E Goulding Iii allows following entities to bill medicare on his behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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. Clarence E Goulding Iii 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 AddressPractice Location Address
Clarence E Goulding Iii, MD
200 Med Tech Pkwy, Suite 108,
Johnson City, TN 37604-2278

Ph: (423) 915-5033		Clarence E Goulding Iii, MD
200 Med Tech Pkwy, Suite 108,
Johnson City, TN 37604-2278

Ph: (423) 915-5033

Reviews and Comments


Emergency Medicine Doctors in Johnson City, TN

Tony Yost, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604
Phone: 423-282-0751    Fax: 423-282-1577
Dr. Andrew Lee Gibson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-6111    Fax: 423-431-2910
Dr. Patricia L Chambers, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    
Dr. Tracy Martin Reece, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 Toll Branch Rd, Johnson City, TN 37601
Phone: 423-773-9721    Fax: 423-743-2884
Dr. Andrew S Pierce, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 408 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-1810    Fax: 423-431-1811
Dr. Clifford G Williamson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-439-6283    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.