Dr Jeremy Lr Goodwin, MS, MD | |
1456 Professional Dr Ste 402, Petaluma, CA 94954-6639 | |
(707) 938-7951 | |
(707) 938-7260 |
Full Name | Dr Jeremy Lr Goodwin |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1456 Professional Dr Ste 402, Petaluma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366547614 | NPI | - | NPPES |
R113031 | Other | OR | NORIDAN |
138326 | Other | OR | OMAP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | G76323 (California) | Primary |
208VP0000X | Pain Medicine - Pain Medicine | G76323 (California) | Secondary |
Entity Name | Sonoma Pain Management, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386935039 PECOS PAC ID: 9234309683 Enrollment ID: O20110823000494 |
Mailing Address | Practice Location Address |
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Dr Jeremy Lr Goodwin, MS, MD 1456 Professional Dr Ste 402, Petaluma, CA 94954-6639 Ph: (707) 938-7951 | Dr Jeremy Lr Goodwin, MS, MD 1456 Professional Dr Ste 402, Petaluma, CA 94954-6639 Ph: (707) 938-7951 |
Dr. David Arthur Browne, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 111 Liberty Street, Petaluma, CA 94952 Phone: 415-892-1041 Fax: 415-408-3400 | |
Mario Mangiardi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1900 S Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-699-6100 | |
Kenneth R. Wulff, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1503 Spring Hill Rd, Petaluma, CA 94952 Phone: 707-559-3895 | |
Edna S. Rivera, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900 | |
Paul Richard Mascovich, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 322 Jacquelyn Ln, Petaluma, CA 94952 Phone: 970-778-5810 | |
Sophie Aneson-macleon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1360 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-565-4708 |