Dale A Goodman, MD | |
1007 Lincolnway, La Porte, IN 46350-3201 | |
(219) 326-1234 | |
Not Available |
Full Name | Dale A Goodman |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 37 Years |
Location | 1007 Lincolnway, La Porte, Indiana |
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 |
---|---|---|---|
1518052158 | NPI | - | NPPES |
000000191669 | Other | IN | ANTHEM PROVIDER NUMBER |
050027208 | Other | IN | RAILROAD PROVIDER NUMBER |
100165370A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01041200 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
La Porte Hospital | La porte, IN | Hospital |
Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of Laporte Pc | 3779614508 | 12 |
La Porte County Anesthesia Associates, Llc | 4688633241 | 12 |
Entity Name | La Porte County Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477553634 PECOS PAC ID: 4688633241 Enrollment ID: O20041008000231 |
Entity Name | Anesthesia Associates Of Laporte Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455429 PECOS PAC ID: 3779614508 Enrollment ID: O20100623000427 |
Mailing Address | Practice Location Address |
---|---|
Dale A Goodman, MD 800 Lincolnway, Suite 301, La Porte, IN 46350-3438 Ph: (219) 324-2229 | Dale A Goodman, MD 1007 Lincolnway, La Porte, IN 46350-3201 Ph: (219) 326-1234 |
Jeremiah L Ashe, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 974 S Redbud Dr, La Porte, IN 46350 Phone: 317-679-1792 | |
Jana Dimce Dukleski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
Richard J Gnaedinger, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
Linda S Sirugo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-324-2229 Fax: 219-324-2229 | |
William E. Wolf Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-324-2229 Fax: 219-324-2229 | |
Chetan Puranik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 504 Legacy Plz W, La Porte, IN 46350 Phone: 219-326-7246 Fax: 219-326-7234 |