Dr Teresa Dudek Goodpaster, MD is a
Surgery physician based in Marianna, Florida. Dr Teresa Dudek Goodpaster is licensed to practice in Florida (license number ME98349) and her current practice location is 3051 6th Street, Marianna, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 482-0017.
NPI number for Dr Teresa Dudek Goodpaster is 1801882428 and her current mailing address is 3051 6th Street, Marianna, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801882428.
Physician's Profile
| Full Name | Dr Teresa Dudek Goodpaster |
|---|
| Gender | Female |
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| Speciality | Surgery |
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| Location | 3051 6th Street, Marianna, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801882428
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 01/22/2010
Medical Identifiers
Medical identifiers for Dr Teresa Dudek Goodpaster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801882428 | NPI | - | NPPES |
| 279095500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 35-06-3092-D (Ohio) | Secondary |
| 208600000X | Surgery | ME98349 (Florida) | 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 Teresa Dudek Goodpaster 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 Teresa Dudek Goodpaster, MD
3051 6th Street,
Marianna, FL 32446-1933
Ph: (850) 482-0017 | Dr Teresa Dudek Goodpaster, MD
3051 6th Street,
Marianna, FL 32446-1933
Ph: (850) 482-0017 |
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