Dr Clive Anthony Goulbourne, MD - Medicare Internal Medicine in Springfield, MO

Dr Clive Anthony Goulbourne, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Springfield, Missouri. His current practice location is 1235 E Cherokee St, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-3911.

Dr Clive Anthony Goulbourne is licensed to practice in Missouri (license number 2022040707) 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 1083024970.

Contact Information

Dr Clive Anthony Goulbourne, MD
1235 E Cherokee St,
Springfield, MO 65804-2203
(417) 820-3911
Not Available



Physician's Profile

Full NameDr Clive Anthony Goulbourne
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location1235 E Cherokee St, Springfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083024970
  • Provider Enumeration Date: 05/01/2014
  • Last Update Date: 12/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032451976
  • Enrollment ID: I20221205001317

Medical Identifiers

Medical identifiers for Dr Clive Anthony Goulbourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083024970NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 87980 (Georgia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 2022040707 (Missouri)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 Clive Anthony Goulbourne allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060

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Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354

News Archive

St. Petersburg Times examines decline in antipsychotic drug prescriptions for Florida children

St. Petersburg Times recently examined how since the Florida Medicaid program last year began requiring physicians to receive approval before prescribing antipsychotic drugs to children younger than age six, the number of prescriptions for children in that age group has dropped by nearly 75%, according to new data from the Florida Agency for Health Care Administration.

Biomet Biologics initiates enrollment in MarrowStim P.A.D. Kit IDE trial for critical limb ischemia

Biomet, a global leader in the manufacture of orthopedic and biotechnology products, announced today that its subsidiary, Biomet Biologics, has enrolled the first subject into its multicenter, prospective, randomized, double-blind, placebo-controlled clinical trial for critical limb ischemia (CLI).

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As people age, cancer becomes an increasing health concern. Solid cancer tumors are cancers that don't affect the blood and instead form tumors, or growths of abnormal cells in certain parts of the body. These solid cancer tumors mainly impact people who are 65 and older.

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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 Clive Anthony Goulbourne 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 AddressPractice Location Address
Dr Clive Anthony Goulbourne, MD
1235 E Cherokee St,
Springfield, MO 65804-2203

Ph: (417) 820-3911
Dr Clive Anthony Goulbourne, MD
1235 E Cherokee St,
Springfield, MO 65804-2203

Ph: (417) 820-3911

News Archive

St. Petersburg Times examines decline in antipsychotic drug prescriptions for Florida children

St. Petersburg Times recently examined how since the Florida Medicaid program last year began requiring physicians to receive approval before prescribing antipsychotic drugs to children younger than age six, the number of prescriptions for children in that age group has dropped by nearly 75%, according to new data from the Florida Agency for Health Care Administration.

Biomet Biologics initiates enrollment in MarrowStim P.A.D. Kit IDE trial for critical limb ischemia

Biomet, a global leader in the manufacture of orthopedic and biotechnology products, announced today that its subsidiary, Biomet Biologics, has enrolled the first subject into its multicenter, prospective, randomized, double-blind, placebo-controlled clinical trial for critical limb ischemia (CLI).

Screening tool may help predict post-surgical complications in older cancer patients

As people age, cancer becomes an increasing health concern. Solid cancer tumors are cancers that don't affect the blood and instead form tumors, or growths of abnormal cells in certain parts of the body. These solid cancer tumors mainly impact people who are 65 and older.

IRIN examines government officials, advocates reaction to global fund restructuring in Zimbabwe

IRIN examines how government officials and HIV/AIDS advocates in Zimbabwe are responding to the Global Fund to Fight AIDS, Tuberculosis and Malaria's decision to channel funds through the UNDP rather than the government-operated National AIDS Council (NAC).

Read more News

› Verified 2 days ago


Internal Medicine Doctors in Springfield, MO

Dr. Mark H. Grimm, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 3231 S National Ave, Springfield, MO 65807
Phone: 417-888-5696    Fax: 417-888-6711
Dr. Sridevi Durga, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807
Phone: 417-875-2633    Fax: 417-875-3295
Bradley D Wiley, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1001 E Primrose St, Springfield, MO 65807
Phone: 417-875-3000    Fax: 417-875-3051
Walter S. Trombold, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 6044 S Overlook Trl, Springfield, MO 65810
Phone: 417-771-5778    
Dr. Timi A Akins, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4814 S Montrose Pl, Springfield, MO 65810
Phone: 202-779-1247    
Ghulam Jeelani Siddiqui, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804
Phone: 417-820-5200    Fax: 417-820-5220
Danny R Penick, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3801 S National Ave, Springfield, MO 65807
Phone: 417-269-0000    

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