Dr Roy Louis Goode, MD | |
2345 Northpark Drive, Columbus, IN 47203 | |
(812) 372-8293 | |
(812) 378-2042 |
Full Name | Dr Roy Louis Goode |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2345 Northpark Drive, Columbus, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265446991 | NPI | - | NPPES |
10782215 | Other | IN | CAQH |
20000174D | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01032770 (Indiana) | Primary |
Entity Name | Palliative Support Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487059416 PECOS PAC ID: 8628311966 Enrollment ID: O20190530000139 |
Mailing Address | Practice Location Address |
---|---|
Dr Roy Louis Goode, MD 2345 Northpark Drive, Columbus, IN 47203 Ph: (812) 372-8293 | Dr Roy Louis Goode, MD 2345 Northpark Drive, Columbus, IN 47203 Ph: (812) 372-8293 |
David Rau, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste H, Columbus, IN 47201 Phone: 812-378-7474 Fax: 812-378-7462 | |
Richard Miethke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2502 25th St, Columbus, IN 47201 Phone: 812-372-8883 Fax: 812-372-8964 | |
Dr. Tracy Lynn Salinas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste D, Columbus, IN 47201 Phone: 812-372-8281 Fax: 812-372-4525 | |
Kelly R Burse, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3201 Middle Dr, Columbus, IN 47203 Phone: 812-372-8281 Fax: 812-372-4525 | |
Mr. John Lacari Nieters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2753 Fox Pointe Dr, Columbus, IN 47203 Phone: 812-376-9291 Fax: 812-378-8390 | |
Brian J Niedbalski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 W Goeller Blvd Ste A, Columbus, IN 47201 Phone: 812-375-3330 Fax: 812-375-3329 | |
Mary Beth Hensley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste C, Columbus, IN 47201 Phone: 812-372-8426 |