Dr Glenn Lee Goodhart, MD in Davenport, FL - Medicare Internal Medicine

Dr Glenn Lee Goodhart, MD is a medicare enrolled "Internal Medicine" physician in Davenport, Florida. His current practice location is 40100 Highway 27, Davenport, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 422-4971.

Dr Glenn Lee Goodhart is licensed to practice in Iowa (license number MD-43462) 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 1568481356.

Contact Information

	Dr Glenn Lee Goodhart, MD
	40100 Highway 27, Davenport, FL 33837-5906
	(863) 422-4971
	(863) 419-2264

Map and Direction

Physician's Profile

Full Name	Dr Glenn Lee Goodhart
Gender	Male
Speciality	Internal Medicine
Location	40100 Highway 27, Davenport, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568481356
Provider Enumeration Date: 07/19/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5496917304
Enrollment ID: I20120509000654

Medical Identifiers

Medical identifiers for Dr Glenn Lee Goodhart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568481356	NPI	-	NPPES
00213694A	Medicaid	GA
019386	Other	GA	LICENSE NUMBER
85001797G	Other	GA	GEORGIA BETTER HEALTHCARE
854101	Other	GA	CIGNA ID NUMBER
2027755	Other	GA	AETNA US GROUP NUMBER
9206456	Other	GA	UNITED HEALTHCARE ID
52241370	Other	GA	BCBS PROVIDER NUMBER
52241370	Other	GA	STATE HEALTH BENEFIT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD-43462 (Iowa)	Primary
174400000X	Specialist	D29594 (Georgia)	Secondary
207R00000X	Internal Medicine	ME116577 (Florida)	Secondary
207R00000X	Internal Medicine	19386 (Georgia)	Secondary
208M00000X	Hospitalist	MD034685L (Pennsylvania)	Secondary

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 Glenn Lee Goodhart allows following entities to bill medicare on his behalf.

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

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 Glenn Lee Goodhart 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
Dr Glenn Lee Goodhart, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Dr Glenn Lee Goodhart, MD 40100 Highway 27, Davenport, FL 33837-5906 Ph: (863) 422-4971

Reviews and Comments

Internal Medicine Doctors in Davenport, FL

Dr. Dwarka G Nath, M D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 40124 Highway 27 Ste 204, Davenport, FL 33837 Phone: 863-419-2156
Dr. Irfan F Siddiqui, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Lionel Way, Davenport, FL 33837 Phone: 863-424-3278 Fax: 863-420-9701
Rubayat Naila Rahman, MD MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 40124 Us Hwy 27, Ste 204, Davenport, FL 33837 Phone: 863-419-2156 Fax: 863-419-2157
Tatjana Blazin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 40100 Us 27, Davenport, FL 33837 Phone: 863-422-4971
Luis Andres Gil, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 105 Park Place Blvd Ste A, Davenport, FL 33837 Phone: 863-419-2156
Ceferina Bondoc Del Rosario, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 N Escambia Avenue, Davenport, FL 33837 Phone: 863-421-7778 Fax: 863-421-7795
Jaydev H Avashia, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 40107 Highway 27 Ste 200, Davenport, FL 33837 Phone: 863-421-9705 Fax: 863-421-9779

Dr Glenn Lee Goodhart, MD - Medicare Internal Medicine in Davenport, FL