Dr Patrick Glenn Goodman, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Tifton, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Centers For Pain Management Of Georgia Llc and his current practice location is
39 Kent Rd Ste 8, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 391-2910.
Dr Patrick Glenn Goodman is licensed to practice in Georgia (license number 59158) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639392558.
Physician's Profile
Full Name | Dr Patrick Glenn Goodman |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 20 Years |
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Location | 39 Kent Rd Ste 8, Tifton, Georgia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Patrick Glenn Goodman attended and graduated from Medical College Of Georgia School Of Medicine in 2004
NPI Data:
- NPI Number: 1639392558
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 04/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800966706
- Enrollment ID: I20080604000373
Medical Identifiers
Medical identifiers for Dr Patrick Glenn Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639392558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0000X | Pain Medicine - Pain Medicine | 59158 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Centers For Pain Management Of Georgia Llc | 1850544289 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Patrick Glenn Goodman allows following entities to bill medicare on his behalf.
Entity Name | Centers For Pain Management Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659615540 PECOS PAC ID: 1850544289 Enrollment ID: O20130114000344 |
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Entity Name | Surgery Center At Cypress Point Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1245767672 PECOS PAC ID: 1557624087 Enrollment ID: O20180417000254 |
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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 Patrick Glenn 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 Patrick Glenn Goodman, MD Po Box 7083, Tifton, GA 31793-7083 Ph: (229) 391-2910 | Dr Patrick Glenn Goodman, MD 39 Kent Rd Ste 8, Tifton, GA 31794-1697 Ph: (229) 391-2910 |
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