| Craig William Goodhart, MD | |
|
4780 N Josey Ln, Carrollton, TX 75010-4615 | |
| (972) 492-1334 | |
| (972) 492-5174 |
| Full Name | Craig William Goodhart |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 4780 N Josey Ln, Carrollton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750470662 | NPI | - | NPPES |
| P00913364 | Other | TX | RAILROAD MEDICARE |
| 8CR158 | Other | TX | BCBS TX 02/01/2011 |
| 6484850003 | Other | TX | MEDICARE NSC - EFFECT. 02/01/2011 |
| TXB117559 | Other | TX | MEDICARE PART B - EFFECT. 02/01/2011 |
| 113597205 | Medicaid | TX | |
| 8F4980 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | H7743 (Texas) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | H7743 (Texas) | Secondary |
| Entity Name | North Star Fm Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20110908001884 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig William Goodhart, MD 4780 N Josey Ln, Carrollton, TX 75010-4615 Ph: (972) 492-1334 | Craig William Goodhart, MD 4780 N Josey Ln, Carrollton, TX 75010-4615 Ph: (972) 492-1334 |
Phillip Madsen Graehl, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4780 N Josey Ln, Carrollton, TX 75010 Phone: 972-492-1334 Fax: 972-492-5174 | |
Charles Edward Neagle, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4780 N Josey Ln, Carrollton, TX 75010 Phone: 972-492-1334 Fax: 973-492-5174 | |
Glenn Stephen Wheeless, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4780 N Josey Ln, Carrollton, TX 75010 Phone: 972-492-1334 Fax: 972-492-5174 | |
Leslie D Jennings, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4323 N Josey Ln, 307, Carrollton, TX 75010 Phone: 972-394-0118 Fax: 972-394-1058 | |
Dr. Brian C Fuller, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4780 N Josey Ln, Carrollton, TX 75010 Phone: 972-492-1334 Fax: 972-492-7909 | |
James Allen Guess, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4780 N Josey Ln, Carrollton, TX 75010 Phone: 972-492-1334 Fax: 972-492-5174 | |
Christian Edward Isaac, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4323 N Josey Ln Ste 307, Carrollton, TX 75010 Phone: 469-777-4532 |