Kerry S Goodin, DDS is a medicare enrolled "Dentist" provider in Austin, Indiana. His current practice location is
60 W Main St, Austin, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 794-2255.
Kerry S Goodin is licensed to practice in Indiana (license number 12008972A) 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 1659520955.
Healthcare Provider's Profile
Full Name | Kerry S Goodin |
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Gender | Male |
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Speciality | Dentist |
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Location | 60 W Main St, Austin, Indiana |
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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: 1659520955
- Provider Enumeration Date: 09/11/2008
- Last Update Date: 03/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 7719275650
- Enrollment ID: I20161010001988
Medical Identifiers
Medical identifiers for Kerry S Goodin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659520955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 12008972A (Indiana) | 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. Kerry S Goodin 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 |
Kerry S Goodin, DDS Po Box 70, 60 W Main St, Austin, IN 47102-0070 Ph: (812) 794-2255 | Kerry S Goodin, DDS 60 W Main St, Austin, IN 47102-1360 Ph: (812) 794-2255 |
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