Dirk R Gottman, MD in Missoula, MT

Dirk R Gottman, MD is a medicare enrolled "Pediatrics" physician in Missoula, Montana. His current practice location is 500 W Broadway St, Missoula, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 721-5600.

Dirk R Gottman is licensed to practice in Montana (license number 9637) 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 1841247467.

Contact Information

	Dirk R Gottman, MD
	500 W Broadway St, Missoula, MT 59802-4008
	(406) 721-5600
	(406) 329-7131

Map and Direction

Physician's Profile

Full Name	Dirk R Gottman
Gender	Male
Speciality	Pediatrics
Location	500 W Broadway St, Missoula, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841247467
Provider Enumeration Date: 05/28/2006
Last Update Date: 09/16/2021

Medicare PECOS Information:

PECOS PAC ID: 4880738780
Enrollment ID: I20100216000371

Medical Identifiers

Medical identifiers for Dirk R Gottman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841247467	NPI	-	NPPES
0028815	Medicaid	MT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	9637 (Montana)	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. Dirk R Gottman allows following entities to bill medicare on his behalf.

Entity Name	Western Montana Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942253182 PECOS PAC ID: 2466365002 Enrollment ID: O20031110000361

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. Dirk R Gottman 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
Dirk R Gottman, MD Po Box 7609, Missoula, MT 59807-7609 Ph: (406) 721-5600	Dirk R Gottman, MD 500 W Broadway St, Missoula, MT 59802-4008 Ph: (406) 721-5600

Reviews and Comments

Pediatrics Doctors in Missoula, MT

Dr. William Charles Hastings, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2825 Fort Missoula Rd Ste 201, Missoula, MT 59804 Phone: 406-721-5566
Jennifer Reck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2835 Fort Missoula Rd # 3, Missoula, MT 59804 Phone: 406-721-5600
Laurie Liang Carter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2827 Fort Missoula Rd, Missoula, MT 59804 Phone: 406-327-4045
Dr. Andrea M. Vannatta, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907
Sandra Simmons, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2835 Fort Missoula Rd, Missoula Valley Pediatrics Ste 205, Missoula, MT 59804 Phone: 406-542-0391
Kathleen S Rogers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Road, Missoula, MT 59804 Phone: 406-721-5600 Fax: 406-721-3907
Jennifer K Hall, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 Fax: 406-329-7122

Dirk R Gottman, MD - Medicare Pediatrics in Missoula, MT