Dr Jan Jack Gouda, MD in Dayton, OH - Medicare Neurological Surgery

Dr Jan Jack Gouda, MD is a medicare enrolled "Neurological Surgery" physician in Dayton, Ohio. His current practice location is 1 Elizabeth Pl, Suite # D, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 424-2520.

Dr Jan Jack Gouda is licensed to practice in Ohio (license number 35-072594) 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 1427163906.

Contact Information

	Dr Jan Jack Gouda, MD
	1 Elizabeth Pl, Suite # D, Dayton, OH 45417-3445
	(937) 424-2520
	(937) 222-9665

Map and Direction

Physician's Profile

Full Name	Dr Jan Jack Gouda
Gender	Male
Speciality	Neurological Surgery
Location	1 Elizabeth Pl, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427163906
Provider Enumeration Date: 08/21/2006
Last Update Date: 06/27/2012

Medicare PECOS Information:

PECOS PAC ID: 9931364189
Enrollment ID: I20120713000154

Medical Identifiers

Medical identifiers for Dr Jan Jack Gouda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427163906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	35-072594 (Ohio)	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. Dr Jan Jack Gouda allows following entities to bill medicare on his behalf.

Entity Name	Dayton Pain Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790730638 PECOS PAC ID: 8123922887 Enrollment ID: O20031124000530

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 Jan Jack Gouda 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 Jan Jack Gouda, MD 1 Elizabeth Pl, Suite # D, Dayton, OH 45417-3445 Ph: (937) 424-2520	Dr Jan Jack Gouda, MD 1 Elizabeth Pl, Suite # D, Dayton, OH 45417-3445 Ph: (937) 424-2520

Reviews and Comments

Neurological Surgery Doctors in Dayton, OH

James Willard Robbins, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Dayton, OH 45433 Phone: 372-579-4169 Fax: 937-656-1235
Miguel Ernesto Habeych Sanmiguel, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500
Ania G Pollack, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St, Ste 5254a, Dayton, OH 45409 Phone: 937-208-4200 Fax: 937-208-4205
Michael Peter Verdon, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 8805 N Main St, Dayton, OH 45415 Phone: 937-797-3137 Fax: 937-972-0445
Dr. James F. Sheridan, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 235 Park Rd, Dayton, OH 45419 Phone: 937-294-5124
Dr. Peter Brewster Letarte, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St Ste 5254a, Dayton, OH 45409 Phone: 937-208-4200 Fax: 937-208-2678

Dr Jan Jack Gouda, MD - Medicare Neurological Surgery in Dayton, OH