| Dr Cory R Gooch, MD | |
|
12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | |
| (813) 745-4673 | |
| Not Available |
| Full Name | Dr Cory R Gooch |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 9 Years |
| Location | 12902 Usf Magnolia Dr, Tampa, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619400983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME137195 (Florida) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | TRN24675 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Florida | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Jacksonville | 5698689297 | 1429 |
| Entity Name | Mayo Clinic Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cory R Gooch, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 | Dr Cory R Gooch, MD 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (813) 745-4673 |
Mr. Niema Brandon Razavian, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 137-457-3658 Fax: 813-449-8618 | |
Joshua Vernon Wright, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 Fax: 813-449-8618 | |
Dr. Justin S. Lee, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-253-2721 Fax: 813-254-4597 | |
Dr. Babu Zachariah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7667 Fax: 813-978-5805 | |
Dr. Robert Joseph Novaco, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6001 Webb Rd, Tampa, FL 33615 Phone: 201-452-8794 | |
Dr. Elias H Salloum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-7365 Fax: 813-449-8618 | |
Wei Lue Tong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-7365 Fax: 813-449-8618 |