Douglas Steven Goracke, MD is a
Anesthesiology physician based in Hermann, Missouri. Douglas Steven Goracke is licensed to practice in Kansas (license number 04-22640) and his current practice location is 509 W 18th St, Hermann, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 486-2191.
NPI number for Douglas Steven Goracke is 1114921889 and his current mailing address is Po Box 19, Hermann, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114921889.
Physician's Profile
| Full Name | Douglas Steven Goracke |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiology |
|---|
| Location | 509 W 18th St, Hermann, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114921889
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 10/08/2018
Medical Identifiers
Medical identifiers for Douglas Steven Goracke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114921889 | NPI | - | NPPES |
| 202985016 | Medicaid | MO | |
| 100133270A | Medicaid | KS | |
| 050018992 | Other | | RAILROAD MEDICARE |
| 1114921889 | Other | | NATIONAL PROVIDER IDENTIFICATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 04-22640 (Kansas) | Primary |
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. Douglas Steven Goracke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Douglas Steven Goracke, MD
Po Box 19,
Hermann, MO 65041-0019
Ph: (573) 486-1193 | Douglas Steven Goracke, MD
509 W 18th St,
Hermann, MO 65041-1547
Ph: (573) 486-2191 |
Reviews and Comments