George Goodkin Dpm Dom is a
Podiatrist based in Albuquerque, New Mexico. George Goodkin Dpm Dom is licensed to practice in New Mexico (license number 254) and their current practice location is
7520 Montgomery Blvd Ne Bldg D12, Albuquerque, New Mexico. It can be reached at their office (for appointments etc.) via phone at
(505) 353-1722.
NPI number for George Goodkin Dpm Dom is 1366744260 and their current mailing address is 7520 Montgomery Blvd Ne Bldg D12, Albuquerque, New Mexico. George Goodkin Dpm Dom
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1366744260.
Healthcare Provider's Profile
| Full Name | George Goodkin Dpm Dom |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 7520 Montgomery Blvd Ne Bldg D12, Albuquerque, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366744260
- Provider Enumeration Date: 11/28/2010
- Last Update Date: 11/28/2010
Medical Identifiers
Medical identifiers for George Goodkin Dpm Dom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366744260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 532 (New Mexico) | Secondary |
| 213E00000X | Podiatrist | 254 (New Mexico) | Primary |
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. George Goodkin Dpm Dom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
George Goodkin Dpm Dom
7520 Montgomery Blvd Ne Bldg D12,
Albuquerque, NM 87109-1534
Ph: (505) 353-1722 | George Goodkin Dpm Dom
7520 Montgomery Blvd Ne Bldg D12,
Albuquerque, NM 87109-1534
Ph: (505) 353-1722 |
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