Dr Richard M Goodale, MD is a medicare enrolled "General Practice" physician in Kapaa, Hawaii. His current practice location is
4-1105 Kuhio Hwy, Kapaa, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 822-3431.
Dr Richard M Goodale is licensed to practice in Hawaii (license number MD-4740) 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 1639274202.
Physician's Profile
Full Name | Dr Richard M Goodale |
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Gender | Male |
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Speciality | General Practice |
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Location | 4-1105 Kuhio Hwy, Kapaa, Hawaii |
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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: 1639274202
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 03/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 4284691825
- Enrollment ID: I20041215000170
Medical Identifiers
Medical identifiers for Dr Richard M Goodale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639274202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MD-4740 (Hawaii) | Primary |
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 Richard M Goodale allows following entities to bill medicare on his behalf.
Entity Name | Kauai Medical Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
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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 Richard M Goodale 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 Richard M Goodale, MD 3-3420 Kuhio Highway, Suite B, Lihue, HI 96766-1098 Ph: (808) 822-3431 | Dr Richard M Goodale, MD 4-1105 Kuhio Hwy, Kapaa, HI 96746-1665 Ph: (808) 822-3431 |
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