Godofredo M Herzog, MD - Medicare General Practice in Sarasota, FL

Godofredo M Herzog, MD is a medicare enrolled "General Practice" physician in Sarasota, Florida. His current practice location is 5640 Marquesas Cir, Sarasota, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 921-5741.

Godofredo M Herzog is licensed to practice in Florida (license number ME21751) 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 1811913445.

Contact Information

Godofredo M Herzog, MD
5640 Marquesas Cir,
Sarasota, FL 34233-3331
(941) 921-5741
(941) 927-5746



Physician's Profile

Full NameGodofredo M Herzog
GenderMale
SpecialityGeneral Practice
Location5640 Marquesas Cir, Sarasota, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811913445
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7113985110
  • Enrollment ID: I20041222000230

Medical Identifiers

Medical identifiers for Godofredo M Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811913445NPI-NPPES
11001OtherFLBLUE COSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ME21751 (Florida)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. Godofredo M Herzog allows following entities to bill medicare on his behalf.
Entity NameSarasota Medical Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760415574
PECOS PAC ID: 5597723593
Enrollment ID: O20041222000198

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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. Godofredo M Herzog 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
Godofredo M Herzog, MD
5640 Marquesas Cir,
Sarasota, FL 34233-3331

Ph: (941) 921-5741
Godofredo M Herzog, MD
5640 Marquesas Cir,
Sarasota, FL 34233-3331

Ph: (941) 921-5741

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