Dr Patrick William Goodman, DDS is a medicare enrolled "Dentist" provider in White Pigeon, Michigan. His current practice location is
113 South Kalamazoo Street, White Pigeon, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 483-9621.
Dr Patrick William Goodman is licensed to practice in Michigan (license number 2901016419) 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 1134259047.
Healthcare Provider's Profile
Full Name | Dr Patrick William Goodman |
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Gender | Male |
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Speciality | Dentist |
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Location | 113 South Kalamazoo Street, White Pigeon, Michigan |
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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: 1134259047
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517254733
- Enrollment ID: I20160930001947
Medical Identifiers
Medical identifiers for Dr Patrick William Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134259047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2901016419 (Michigan) | 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. Dr Patrick William Goodman 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 Patrick William Goodman, DDS 113 South Kalamazoo Street, Po Box 695, White Pigeon, MI 49099 Ph: (269) 483-9621 | Dr Patrick William Goodman, DDS 113 South Kalamazoo Street, White Pigeon, MI 49099 Ph: (269) 483-9621 |
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