Stephen Goykovich, DO is a medicare enrolled "Family Medicine" physician in Avis, Pennsylvania. His current practice location is
104 E. Central Ave., Avis, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 753-8620.
Stephen Goykovich is licensed to practice in Pennsylvania (license number OS007685L) 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 1720057805.
Physician's Profile
| Full Name | Stephen Goykovich |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 104 E. Central Ave., Avis, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720057805
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 07/01/2010
Medicare PECOS Information:
- PECOS PAC ID: 5890972426
- Enrollment ID: I20190228001998
Medical Identifiers
Medical identifiers for Stephen Goykovich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720057805 | NPI | - | NPPES |
| 080013499 | Other | PA | RAILROAD MEDICARE |
| 001178 | Other | PA | FIRST PRIORITY HEALTH |
| 5501338 | Other | PA | AETNA |
| 6759-C2CE | Other | PA | GEISINGER HEALTH PLAN |
| 690195 | Other | PA | BLUE SHIELD |
| 0012612900002 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OS007685L (Pennsylvania) | 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. Stephen Goykovich allows following entities to bill medicare on his behalf.
| Entity Name | Ormond Medical Arts |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326254962
PECOS PAC ID: 1254222565
Enrollment ID: O20040324000407 |
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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. Stephen Goykovich 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 |
|---|
Stephen Goykovich, DO
Po Box 430,
Avis, PA 17721-0430
Ph: (570) 753-8620 | Stephen Goykovich, DO
104 E. Central Ave.,
Avis, PA 17721
Ph: (570) 753-8620 |
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