| Dr Eric J Goth, MD | |
|
1969 W Hart Rd, Beloit, WI 53511 | |
| (608) 362-7888 | |
| (608) 362-8470 |
| Full Name | Dr Eric J Goth |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1969 W Hart Rd, Beloit, Wisconsin |
| 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 |
|---|---|---|---|
| 1679652689 | NPI | - | NPPES |
| 1679652689 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036-129967 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 51248-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Ssm Health Monroe Hospital | Monroe, WI | Hospital |
| Beloit Memorial Hospital | Beloit, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Prairie Ridge Health | Columbus, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1174 |
| Radiology Associates Of The Fox Valley Sc | 0446152748 | 73 |
| Madison Radiologists S C | 1951209311 | 58 |
| Beloit Radiology Ltd | 3274559711 | 54 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Radiology Associates of the Fox Valley SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477539443 PECOS PAC ID: 0446152748 Enrollment ID: O20040127000011 |
| Entity Name | Madison Radiologists S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871573725 PECOS PAC ID: 1951209311 Enrollment ID: O20040715001034 |
| Entity Name | Beloit Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386661734 PECOS PAC ID: 3274559711 Enrollment ID: O20051024000425 |
| Entity Name | Riverside Radiology and Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20210315000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric J Goth, MD 340 Midland Rd Ste 120, Janesville, WI 53546-2339 Ph: (608) 743-9313 | Dr Eric J Goth, MD 1969 W Hart Rd, Beloit, WI 53511 Ph: (608) 362-7888 |
Miguel A Jimenez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5269 |
Dr. John Works Boardman, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1110 Chapin St, Beloit, WI 53511 Phone: 608-362-2343 |
Thomas J Lisk, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5269 |
George Cherian, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5269 |