Jeremy Zach Goodman, MD - Medicare Urology in Moultrie, GA

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Jeremy Zach Goodman, MD is a medicare enrolled "Urology" physician in Moultrie, Georgia. His current practice location is 16 Live Oak Ct, Moultrie, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 891-9148.

Jeremy Zach Goodman is licensed to practice in Georgia (license number 101115) 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 1245890094.

Contact Information

Jeremy Zach Goodman, MD
16 Live Oak Ct,
Moultrie, GA 31768-6783
(229) 891-9148
Not Available

Map and Direction




Physician's Profile

Full NameJeremy Zach Goodman
GenderMale
SpecialityUrology
Location16 Live Oak Ct, Moultrie, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245890094
  • Provider Enumeration Date: 06/14/2019
  • Last Update Date: 09/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6103151477
  • Enrollment ID: I20241011002702

Medical Identifiers

Medical identifiers for Jeremy Zach Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245890094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 101115 (Georgia)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. Jeremy Zach Goodman allows following entities to bill medicare on his behalf.
Entity NameColquitt Regional Urology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215209416
PECOS PAC ID: 0840455192
Enrollment ID: O20120711000492

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. Jeremy Zach Goodman 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
Jeremy Zach Goodman, MD
Po Box 2876,
Moultrie, GA 31776-2876

Ph: (229) 891-9148		Jeremy Zach Goodman, MD
16 Live Oak Ct,
Moultrie, GA 31768-6783

Ph: (229) 891-9148

Reviews and Comments


Urology Doctors in Moultrie, GA

Emerson E Harrison, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 16 Live Oak Ct, Moultrie, GA 31768
Phone: 229-891-9148    Fax: 229-217-4910
Dr. Cheau Eugene Williams, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 115 31st Ave Se, Moultrie, GA 31768
Phone: 229-502-9788    
W Winston Wilfong, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 4 Live Oak Ct, Moultrie, GA 31768
Phone: 229-785-2400    Fax: 229-207-2532

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.