Dr Max Justin Goodman, MD/MS is a
Student In An Organized Health Care Education/training Program physician based in Ann Arbor, Michigan. Dr Max Justin Goodman is licensed to practice in Michigan (license number 4351052432APP24) and his current practice location is 300 N Ingalls St Bldg Ni4c06, Ann Arbor, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 615-2690.
NPI number for Dr Max Justin Goodman is 1861192924 and his current mailing address is 300 N Ingalls St Bldg Ni4c06, Ann Arbor, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861192924.
Physician's Profile
| Full Name | Dr Max Justin Goodman |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 300 N Ingalls St Bldg Ni4c06, Ann Arbor, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861192924
- Provider Enumeration Date: 03/07/2023
- Last Update Date: 06/10/2024
Medical Identifiers
Medical identifiers for Dr Max Justin Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861192924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 4351052432APP24 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4351052432APP24 (Michigan) | Primary |
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. Dr Max Justin Goodman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Max Justin Goodman, MD/MS
300 N Ingalls St Bldg Ni4c06,
Ann Arbor, MI 48109-0400
Ph: () - | Dr Max Justin Goodman, MD/MS
300 N Ingalls St Bldg Ni4c06,
Ann Arbor, MI 48109-0400
Ph: (734) 615-2690 |
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