Conny Dale Goodin, MD | |
115 Crossfield Dr Ste A, Versailles, KY 40383-1845 | |
(859) 873-9843 | |
(859) 873-0972 |
Full Name | Conny Dale Goodin |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 46 Years |
Location | 115 Crossfield Dr Ste A, Versailles, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902899065 | NPI | - | NPPES |
110031155 | Other | KY | RAILROAD MEDICARE |
1404232 | Other | KY | UMWA |
64-201593 | Medicaid | KY | |
000000047824 | Other | KY | ANTHEM BLUE SHIELD |
611012421D | Other | KY | HUMANA |
D95905 | Other | KY | BLUEGRASS FAMILY HEALTH |
0037674 | Other | KY | MEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT |
611012421 | Other | KY | ESSENCE |
0400358 | Other | KY | UNITED HEALTHCARE |
1284109 | Other | KY | UMWA |
611012421 | Other | KY | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20159 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bluegrass Community Hospital | Versailles, KY | Hospital |
Baptist Health Lexington | Lexington, KY | Hospital |
Saint Joseph East | Lexington, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Lexington Clinic, Psc | 3476457532 | 307 |
Entity Name | New Lexington Clinic Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803681 PECOS PAC ID: 3476457532 Enrollment ID: O20031121000103 |
Entity Name | Central Kentucky Medical Group, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568475986 PECOS PAC ID: 6002807344 Enrollment ID: O20040524001052 |
Mailing Address | Practice Location Address |
---|---|
Conny Dale Goodin, MD 115 Crossfield Dr Ste A, Versailles, KY 40383-1845 Ph: (859) 873-9843 | Conny Dale Goodin, MD 115 Crossfield Dr Ste A, Versailles, KY 40383-1845 Ph: (859) 873-9843 |
Daniell Hill, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Amsden Ave, Versailles, KY 40383 Phone: 859-879-2451 Fax: 859-402-0990 | |
William E Childers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Crossfield Dr, Ste A, Versailles, KY 40383 Phone: 859-873-9843 Fax: 859-873-0972 |