Craig R Goodall, MD in Salt Lake City, UT - Medicare Internal Medicine

Craig R Goodall, MD is a medicare enrolled "Internal Medicine" physician in Salt Lake City, Utah. His current practice location is 30 N 1900 E Rm 4c116, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-7606.

Craig R Goodall is licensed to practice in Utah (license number 11885628-1205) 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 1255893897.

Contact Information

	Craig R Goodall, MD
	30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002
	(801) 581-7606
	Not Available

Map and Direction

Physician's Profile

Full Name	Craig R Goodall
Gender	Male
Speciality	Internal Medicine
Location	30 N 1900 E Rm 4c116, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255893897
Provider Enumeration Date: 04/02/2019
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 7911325378
Enrollment ID: I20221115000887

Medical Identifiers

Medical identifiers for Craig R Goodall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255893897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	MD-22917 (Hawaii)	Secondary
207R00000X	Internal Medicine	11885628-1205 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Craig R Goodall allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062

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. Craig R Goodall 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
Craig R Goodall, MD 929 E Princeton Ave Apt 3, Salt Lake City, UT 84105-1817 Ph: () -	Craig R Goodall, MD 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 Ph: (801) 581-7606

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Craig R Goodall, MD - Medicare Internal Medicine in Salt Lake City, UT