Jamie D Goad, DDS is a
Dentist based in Carrizozo, New Mexico. Jamie D Goad is licensed to practice in New Mexico (license number DD1324) and his current practice location is
710 Avenue E, Carrizozo, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 648-2839.
NPI number for Jamie D Goad is 1972526556 and his current mailing address is 5901 Harper Dr Ne, Provider Enrollment, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972526556.
Healthcare Provider's Profile
| Full Name | Jamie D Goad |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 710 Avenue E, Carrizozo, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972526556
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jamie D Goad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972526556 | NPI | - | NPPES |
| 84285 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DD1324 (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. Jamie D Goad 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 |
|---|
Jamie D Goad, DDS
5901 Harper Dr Ne, Provider Enrollment,
Albuquerque, NM 87109-3587
Ph: (505) 823-8528 | Jamie D Goad, DDS
710 Avenue E,
Carrizozo, NM 88301
Ph: (505) 648-2839 |
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