Kishan Goetz-patel, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Hyde Park, New York. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2018 and has 8 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice North Shore-lij Medical Pc and his current practice location is
27005 76th Ave, New Hyde Park, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 470-7000.
Kishan Goetz-patel is licensed to practice in * (Not Available) (license number ) 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 1306341722.
Physician's Profile
| Full Name | Kishan Goetz-patel |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 8 Years |
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| Location | 27005 76th Ave, New Hyde Park, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kishan Goetz-patel attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2018
NPI Data:
- NPI Number: 1306341722
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 01/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 9931446812
- Enrollment ID: I20210817001026
Medical Identifiers
Medical identifiers for Kishan Goetz-patel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306341722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 310603 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore-lij Medical Pc | 3375701568 | 5625 |
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. Kishan Goetz-patel allows following entities to bill medicare on his behalf.
| Entity Name | North Shore-lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Kishan Goetz-patel 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 |
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Kishan Goetz-patel, DO
387 Huguenot St Apt 6a,
New Rochelle, NY 10801-7038
Ph: (240) 463-2117 | Kishan Goetz-patel, DO
27005 76th Ave,
New Hyde Park, NY 11040-1496
Ph: (718) 470-7000 |
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