John Gordon Goddard, MD in Shreveport, LA

John Gordon Goddard, MD is a medicare enrolled "Family Medicine" physician in Shreveport, Louisiana. He went to University Of Virginia School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wk Urgent Care Center-pierremont and his current practice location is 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-3750.

John Gordon Goddard is licensed to practice in Louisiana (license number 15478R) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629008214.

Contact Information

	John Gordon Goddard, MD
	1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714
	(318) 212-3750
	(318) 212-3755

Map and Direction

Physician's Profile

Full Name	John Gordon Goddard
Gender	Male
Speciality	Family Practice
Experience	27 Years
Location	1666 E Bert Kouns Industrial Loop, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Gordon Goddard attended and graduated from University Of Virginia School Of Medicine in 1997

NPI Data:

NPI Number: 1629008214
Provider Enumeration Date: 07/03/2006
Last Update Date: 10/31/2007

Medicare PECOS Information:

PECOS PAC ID: 9436103124
Enrollment ID: I20050304000808

Medical Identifiers

Medical identifiers for John Gordon Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629008214	NPI	-	NPPES
1466760	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	15478R (Louisiana)	Primary
207Q00000X	Family Medicine	0101057937 (Virginia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wk Urgent Care Center-pierremont	8123016946	35

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. John Gordon Goddard allows following entities to bill medicare on his behalf.

Entity Name	Wk Urgent Care Center-pierremont
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639115132 PECOS PAC ID: 8123016946 Enrollment ID: O20040503000206

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. John Gordon Goddard 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
John Gordon Goddard, MD 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 Ph: (318) 212-3750	John Gordon Goddard, MD 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 Ph: (318) 212-3750

Reviews and Comments

Family Medicine Doctors in Shreveport, LA

Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835
Ammar Husan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

John Gordon Goddard, MD - Medicare Family Practice in Shreveport, LA