Dr Max Justin Goodman, MD/MS is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Ann Arbor, Michigan. His current practice location is
300 N Ingalls St Bldg Ni4c06, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 615-2690.
Dr Max Justin Goodman is licensed to practice in Michigan (license number 4351052432APP24) 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 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861192924
- Provider Enumeration Date: 03/07/2023
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709329832
- Enrollment ID: I20240618001727
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
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 |
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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