Dr David R Gotham Jr, DO is a medicare enrolled "Orthopaedic Surgery" physician in Rocklin, California. He went to New York Medical College and graduated in 1999 and has 25 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is
2204 Plaza Dr, Suite 210, Rocklin, California. You can reach out to his office (for appointments etc.) via phone at
(916) 771-9555.
Dr David R Gotham Jr is licensed to practice in California (license number 20A8894) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023009297.
Physician's Profile
| Full Name | Dr David R Gotham Jr |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 25 Years |
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| Location | 2204 Plaza Dr, Rocklin, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David R Gotham Jr attended and graduated from New York Medical College in 1999
NPI Data:
- NPI Number: 1023009297
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 04/07/2009
Medicare PECOS Information:
- PECOS PAC ID: 6002882719
- Enrollment ID: I20040903000534
Medical Identifiers
Medical identifiers for Dr David R Gotham Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023009297 | NPI | - | NPPES |
| 00AX88940 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 20A8894 (California) | Primary |
Medical Facilities Affiliation
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. Dr David R Gotham Jr allows following entities to bill medicare on his behalf.
| Entity Name | David R. Gotham, Jr., D.o., Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114110640
PECOS PAC ID: 3870675119
Enrollment ID: O20080125000390 |
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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. Dr David R Gotham Jr 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 |
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Dr David R Gotham Jr, DO
2204 Plaza Dr, Suite 210,
Rocklin, CA 95765-4413
Ph: (916) 771-9555 | Dr David R Gotham Jr, DO
2204 Plaza Dr, Suite 210,
Rocklin, CA 95765-4413
Ph: (916) 771-9555 |
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