Douglas Goforth, DPM in Fruita, CO - Medicare Podiatrist Provider

Douglas Goforth, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Fruita, Colorado. His current practice location is 401 Kokopelli Blvd Ste 1, Fruita, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 858-2530.

Douglas Goforth is licensed to practice in Colorado (license number POD.0000712) 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 1942534334.

Contact Information

	Douglas Goforth, DPM
	401 Kokopelli Blvd Ste 1, Fruita, CO 81521-3308
	(970) 858-2530
	(970) 858-1196

Map and Direction

Healthcare Provider's Profile

Full Name	Douglas Goforth
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	401 Kokopelli Blvd Ste 1, Fruita, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942534334
Provider Enumeration Date: 10/01/2009
Last Update Date: 11/23/2020

Medicare PECOS Information:

PECOS PAC ID: 9931357563
Enrollment ID: I20120924000454

Medical Identifiers

Medical identifiers for Douglas Goforth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942534334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	POD.0000712 (Colorado)	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. Douglas Goforth allows following entities to bill medicare on his behalf.

Provider Name	Lower Valley Hospital Association
Provider Type	Part B Supplier - Public Health/welfare Agency
Provider Identifiers	NPI Number: 1609190206 PECOS PAC ID: 4284526021 Enrollment ID: O20040326000937

Provider Name	Lower Valley Hospital Association
Provider Type	Part A Provider - Critical Access Hospital
Provider Identifiers	NPI Number: 1861496697 PECOS PAC ID: 4284526021 Enrollment ID: O20090218000366

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. Douglas Goforth 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
Douglas Goforth, DPM Po Box 130, Fruita, CO 81521-0130 Ph: (970) 858-2186	Douglas Goforth, DPM 401 Kokopelli Blvd Ste 1, Fruita, CO 81521-3308 Ph: (970) 858-2530

Reviews and Comments

Podiatrist in Fruita, CO

Family Health West Foot & Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-2530 Fax: 970-858-1196
Troy Alexander Griffiths, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 401 Kokopelli Blvd Ste 1, Fruita, CO 81521 Phone: 970-858-2530 Fax: 970-858-1196
Dr. Benjamin Woerner Carelock, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-2530 Fax: 970-858-1196

Douglas Goforth, DPM - Medicare Podiatrist in Fruita, CO