Melissa Goczalk, is a medicare enrolled "Surgery" physician in Plymouth, New Hampshire. Her current practice location is
16 Hospital Rd, Plymouth, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 536-1120.
Melissa Goczalk is licensed to practice in Illinois (license number 125076932) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114553021.
Physician's Profile
| Full Name | Melissa Goczalk |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 16 Hospital Rd, Plymouth, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114553021
- Provider Enumeration Date: 03/23/2020
- Last Update Date: 06/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 4082037346
- Enrollment ID: I20200706002691
Medical Identifiers
Medical identifiers for Melissa Goczalk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114553021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 125076932 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Melissa Goczalk 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 |
Melissa Goczalk, 1750 W Harrison St Ste 775, Chicago, IL 60612-3825 Ph: () - | Melissa Goczalk, 16 Hospital Rd, Plymouth, NH 03264-1126 Ph: (603) 536-1120 |
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