Deserae Jeanette Goble, MD in Logan, UT - Medicare Family Practice

Deserae Jeanette Goble, MD is a medicare enrolled "Family Medicine" physician in Logan, Utah. She went to George Washington University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 1451 N 200 E Ste 250, Logan, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 363-7853.

Deserae Jeanette Goble is licensed to practice in Utah (license number 5010200-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366415770.

Contact Information

	Deserae Jeanette Goble, MD
	1451 N 200 E Ste 250, Logan, UT 84341-7570
	(435) 363-7853
	(435) 213-3785

Map and Direction

Physician's Profile

Full Name	Deserae Jeanette Goble
Gender	Female
Speciality	Family Practice
Experience	27 Years
Location	1451 N 200 E Ste 250, Logan, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Deserae Jeanette Goble attended and graduated from George Washington University School Of Medicine in 1997

NPI Data:

NPI Number: 1366415770
Provider Enumeration Date: 02/08/2006
Last Update Date: 08/31/2021

Medicare PECOS Information:

PECOS PAC ID: 6002830239
Enrollment ID: I20071011000091

Medical Identifiers

Medical identifiers for Deserae Jeanette Goble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366415770	NPI	-	NPPES
1366415770	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A93148 (California)	Secondary
207Q00000X	Family Medicine	5010200-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Hospital	Logan, UT	Hospital
Cache Valley Hospital	North logan, UT	Hospital

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. Deserae Jeanette Goble allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	Deserae J Goble Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407232903 PECOS PAC ID: 2860708898 Enrollment ID: O20150904001350

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. Deserae Jeanette Goble 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
Deserae Jeanette Goble, MD 1950 S Highway 89, Perry, UT 84302-4119 Ph: (435) 363-7853	Deserae Jeanette Goble, MD 1451 N 200 E Ste 250, Logan, UT 84341-7570 Ph: (435) 363-7853

Reviews and Comments

Family Medicine Doctors in Logan, UT

Brant Wahlen Fonnesbeck, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste K, Logan, UT 84341 Phone: 435-755-6061
Amanda E Stott, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1260
Douglas R Hyldahl, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 N 200 E, Logan, UT 84321 Phone: 435-713-2800
David N N Casey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 N. 200 E., Logan, UT 84321 Phone: 435-713-2710 Fax: 435-713-2747
Nathan H Call, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1652 S Main St, Logan, UT 84321 Phone: 435-752-6105
Dr. Matthew John Welter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1219 N 400 E, Logan, UT 84341 Phone: 435-757-8943
Glenn O Mortensen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1750 N 1000 E, Logan, UT 84341 Phone: 435-757-1516

Deserae Jeanette Goble, MD - Medicare Family Practice in Logan, UT