William D Goudy, DO in Fort Wayne, IN - Medicare Family Medicine

William D Goudy, DO is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. His current practice location is 1900 Carew St Ste 6, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 266-2500.

William D Goudy is licensed to practice in Indiana (license number 02000673A) 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 1568462935.

Contact Information

	William D Goudy, DO
	1900 Carew St Ste 6, Fort Wayne, IN 46805-4765
	(260) 266-2500
	Not Available

Map and Direction

Physician's Profile

Full Name	William D Goudy
Gender	Male
Speciality	Family Medicine
Location	1900 Carew St Ste 6, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568462935
Provider Enumeration Date: 07/28/2005
Last Update Date: 01/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3274433834
Enrollment ID: I20040830000629

Medical Identifiers

Medical identifiers for William D Goudy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568462935	NPI	-	NPPES
100103820A	Medicaid	IN
P00144540	Other	IN	MEDICARE RAILROAD
000000335961	Other		ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	02000673A (Indiana)	Secondary
207Q00000X	Family Medicine	02000673A (Indiana)	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. William D Goudy allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

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. William D Goudy 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
William D Goudy, DO 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	William D Goudy, DO 1900 Carew St Ste 6, Fort Wayne, IN 46805-4765 Ph: (260) 266-2500

Reviews and Comments

Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Samantha Dawn Warden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802 Phone: 260-423-2675 Fax: 260-423-6621
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065

William D Goudy, DO - Medicare Family Medicine in Fort Wayne, IN