Dr James Kimball Goetz, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Point Reyes Station, California. His current practice location is
65 3rd Street, 29 B, Point Reyes Station, California. You can reach out to his office (for appointments etc.) via phone at
(415) 827-2163.
Dr James Kimball Goetz is licensed to practice in California (license number PSY 22070) 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 1023269750.
Healthcare Provider's Profile
| Full Name | Dr James Kimball Goetz |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 65 3rd Street, Point Reyes Station, California |
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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: 1023269750
- Provider Enumeration Date: 09/30/2008
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870657463
- Enrollment ID: I20100709000870
Medical Identifiers
Medical identifiers for Dr James Kimball Goetz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023269750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | PSY 22070 (California) | 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. Dr James Kimball Goetz allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Dr James Kimball Goetz 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 |
Dr James Kimball Goetz, PSY D Po Box 1194, Inverness, CA 94937-1194 Ph: (415) 827-2163 | Dr James Kimball Goetz, PSY D 65 3rd Street, 29 B, Point Reyes Station, CA 94956 Ph: (415) 827-2163 |
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