Goshen Medical Practice,llc - Medicare Primary Care in Goshen, IN

Goshen Medical Practice,llc is a medicare enrolled primary clinic (Internal Medicine) in Goshen, Indiana. The current practice location for Goshen Medical Practice,llc is 2240 Karisa Dr, Suite1, Goshen, Indiana. For appointments, you can reach them via phone at (574) 534-6757. The mailing address for Goshen Medical Practice,llc is 2240 Karisa Dr, Suite1, Goshen, Indiana and phone number is (574) 534-6757.

Goshen Medical Practice,llc is licensed to practice in Indiana (license number 01054743A). The clinic also participates in the medicare program and its NPI number is 1861582694. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (574) 534-6757.

Contact Information

Goshen Medical Practice,llc
2240 Karisa Dr
Suite1
Goshen
IN 46526-6943
(574) 534-6757
(574) 537-0357

Primary Care Clinic Profile

Full NameGoshen Medical Practice,llc
SpecialityInternal Medicine
Location2240 Karisa Dr, Goshen, Indiana
Authorized Official Name and PositionDicky G Bhagat (SOLE PROPERITOR OF LLC)
Authorized Official Contact5745346757
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Goshen Medical Practice,llc
2240 Karisa Dr
Suite1
Goshen
IN 46526-6943

Ph: (574) 534-6757
Goshen Medical Practice,llc
2240 Karisa Dr
Suite1
Goshen
IN 46526-6943

Ph: (574) 534-6757

NPI Details:

NPI Number1861582694
Provider Enumeration Date10/13/2006
Last Update Date02/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5193611309
Medicare Enrollment IDO20040225000272

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Medical Identifiers

Medical identifiers for Goshen Medical Practice,llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861582694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01054743A (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. Goshen Medical Practice,llc acts as a billing entity for following providers:
Provider NameDicky G Bhagat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518960525
PECOS PAC ID: 1850287087
Enrollment ID: I20040225000496

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Internal Medicine in Goshen, IN

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Medicare: Medicare Enrolled
Practice Location: 2004 Elkhart Rd Ste A, Goshen, IN 46526
Phone: 574-364-2611    Fax: 574-364-2784
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Practice Location: 400 W Lincoln Ave, Goshen, IN 46526
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