Dr Sumeet Kumar Goel, DO - Medicare Family Medicine in Stevens Point, WI

Dr Sumeet Kumar Goel, DO is a medicare enrolled "Family Medicine" physician in Stevens Point, Wisconsin. His current practice location is 2501 Main St, Stevens Point, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (800) 942-5330.

Dr Sumeet Kumar Goel is licensed to practice in Wisconsin (license number 60024-21) 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 1073824470.

Contact Information

Dr Sumeet Kumar Goel, DO
2501 Main St,
Stevens Point, WI 54481-4000
(800) 942-5330
Not Available

Map and Direction




Physician's Profile

Full NameDr Sumeet Kumar Goel
GenderMale
SpecialityFamily Medicine
Location2501 Main St, Stevens Point, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073824470
  • Provider Enumeration Date: 06/30/2010
  • Last Update Date: 06/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163663691
  • Enrollment ID: I20130726000147

Medical Identifiers

Medical identifiers for Dr Sumeet Kumar Goel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073824470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 60024-21 (Wisconsin)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 Sumeet Kumar Goel allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameMoundview Memorial Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710939533
PECOS PAC ID: 1355250432
Enrollment ID: O20031121000846
Entity NameAspirus Wausau Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922321140
PECOS PAC ID: 6406757442
Enrollment ID: O20040114000297
Entity NameAspirus Riverview Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295754844
PECOS PAC ID: 4587658182
Enrollment ID: O20040414000945
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Entity NamePrimary Connection Health Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457370744
PECOS PAC ID: 3870577935
Enrollment ID: O20040616000370
Entity NameFamily Health Center Of Marshfield Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437264140
PECOS PAC ID: 2466540877
Enrollment ID: O20071119000591
Entity NameMemorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20110526000807
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

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 Sumeet Kumar Goel 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 Sumeet Kumar Goel, DO
2501 Main St,
Stevens Point, WI 54481-4000

Ph: (800) 942-5330
Dr Sumeet Kumar Goel, DO
2501 Main St,
Stevens Point, WI 54481-4000

Ph: (800) 942-5330

Reviews and Comments


Family Medicine Doctors in Stevens Point, WI

Dr. Kevin Richard Whitney, MD
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Orlando M Francisco, MD
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Carol D Rave, MD
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Helen M Luce, DO
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Oscar G Padilla, MD
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Robyn Alice Gilbertson, M.D.
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Practice Location: 5409 Vern Holmes Dr, Stevens Point, WI 54482
Phone: 715-344-1600    

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.