Dr Justin B Mcgoldrick, MD - Medicare Emergency Medicine in Jefferson City, TN

  1. Home
  2. Emergency Medicine
  3. TN
  4. Jefferson City
Dr Justin B Mcgoldrick, MD is a medicare enrolled "Emergency Medicine" physician in Jefferson City, Tennessee. His current practice location is 110 Hospital Dr, Jefferson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 471-2500.

Dr Justin B Mcgoldrick is licensed to practice in Tennessee (license number 35270) 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 1114960101.

Contact Information

Dr Justin B Mcgoldrick, MD
110 Hospital Dr,
Jefferson City, TN 37760-5281
(865) 471-2500
Not Available

Map and Direction




Physician's Profile

Full NameDr Justin B Mcgoldrick
GenderMale
SpecialityEmergency Medicine
Location110 Hospital Dr, Jefferson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114960101
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 11/06/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1658321476
  • Enrollment ID: I20050128000350

Medical Identifiers

Medical identifiers for Dr Justin B Mcgoldrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114960101NPI-NPPES
3865961MedicaidTN
4150060OtherTNBLUE CROSS
4014592OtherTNBLUE CROSS
P00189111OtherTNRAILROAD MEDICARE
3865960MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 35270 (Tennessee)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 Justin B Mcgoldrick allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997

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 Justin B Mcgoldrick 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 AddressPractice Location Address
Dr Justin B Mcgoldrick, MD
Po Box 634706,
Cincinnati, OH 45263-0001

Ph: () -		Dr Justin B Mcgoldrick, MD
110 Hospital Dr,
Jefferson City, TN 37760-5281

Ph: (865) 471-2500

Reviews and Comments


Emergency Medicine Doctors in Jefferson City, TN

Dr. Steven Todd Sheedlo, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 657 E Broadway Blvd, Ste. C, Jefferson City, TN 37760
Phone: 865-475-9062    Fax: 865-475-9063
Dr. Kevin Eric Stasney, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 Hospital Dr, Jefferson City, TN 37760
Phone: 865-471-2500    
Dr. Nathan Roger Gilbert, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 110 Hospital Dr, Jefferson City, TN 37760
Phone: 865-471-2500    Fax: 865-539-8008
Dr. Joshua Porter, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 Hospital Dr, Jefferson City, TN 37760
Phone: 865-471-2500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.