Audrey Goodwin, MD | |
1700 Renaissance Blvd, Edmond, OK 73013-3022 | |
(405) 844-4300 | |
(405) 844-4333 |
Full Name | Audrey Goodwin |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1700 Renaissance Blvd, Edmond, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952661688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 29248 (Oklahoma) | Secondary |
207R00000X | Internal Medicine | 29248 (Oklahoma) | Primary |
Entity Name | Archwell Health Professional Services Of Oklahoma Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457934895 PECOS PAC ID: 6608272638 Enrollment ID: O20210831000931 |
Mailing Address | Practice Location Address |
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Audrey Goodwin, MD 5300 N. Independence, Suite 280, Oklahoma City, OK 73112 Ph: (405) 844-4300 | Audrey Goodwin, MD 1700 Renaissance Blvd, Edmond, OK 73013-3022 Ph: (405) 844-4300 |
Viorica Khalili, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 S Bryant Ave, Suite 202, Edmond, OK 73034 Phone: 405-340-4565 Fax: 405-340-4583 | |
Dr. Royce Lee Bargas, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3839 S Boulevard Ste 100, Edmond, OK 73013 Phone: 405-607-4445 | |
Dr. Brian Levy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 N Bryant Ave, C4, Edmond, OK 73034 Phone: 405-330-7606 Fax: 405-330-7607 | |
Rakesh Shrivastava, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave Ste 101, Edmond, OK 73034 Phone: 405-861-0004 Fax: 855-680-8890 | |
Dr. Craig W Carson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 Phone: 405-844-4978 Fax: 405-844-0562 | |
Laurie Anne Orme, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Waterloo Rd, Edmond, OK 73034 Phone: 405-715-2000 Fax: 405-715-2010 | |
Jeremy Brandon Moad, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave Ste 104, Edmond, OK 73034 Phone: 405-715-2022 Fax: 405-715-2905 |