Dr Timothy W Goodrich, DO is a medicare enrolled "Otolaryngology" physician in Pullman, Washington. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Palouse Specialty Physicians Ps, Palouse Specialty Physicians Ps and his current practice location is
825 Se Bishop Blvd Ste 601, Pullman, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 334-5876.
Dr Timothy W Goodrich is licensed to practice in Washington (license number OP60500221) 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 1598887861.
Physician's Profile
| Full Name | Dr Timothy W Goodrich |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 21 Years |
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| Location | 825 Se Bishop Blvd Ste 601, Pullman, Washington |
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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. |
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Medical Education and Training:
- Dr Timothy W Goodrich attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2003
NPI Data:
- NPI Number: 1598887861
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 06/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365631918
- Enrollment ID: I20150507002266
Medical Identifiers
Medical identifiers for Dr Timothy W Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598887861 | NPI | - | NPPES |
| OP60500221 | Other | WA | WASHINGTON LICENSE |
| CS37466 | Other | ID | IDAHO LICENSE-IDAHO BOARD OF PHARMACY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 0530995 (Kansas) | Secondary |
| 207Y00000X | Otolaryngology | 774 (Nebraska) | Secondary |
| 207Y00000X | Otolaryngology | 005600 (Arizona) | Secondary |
| 207Y00000X | Otolaryngology | 63863 (Georgia) | Secondary |
| 207Y00000X | Otolaryngology | OP60500221 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Palouse Specialty Physicians Ps | 0345569166 | 9 |
| Palouse Specialty Physicians Ps | 0345569166 | 9 |
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 Timothy W Goodrich allows following entities to bill medicare on his behalf.
| Entity Name | Palouse Specialty Physicians Ps |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760889265
PECOS PAC ID: 0345569166
Enrollment ID: O20150429001221 |
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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 Timothy W Goodrich 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 Timothy W Goodrich, DO
825 Se Bishop Blvd, Suite 601,
Pullman, WA 99163-5517
Ph: (509) 334-5876 | Dr Timothy W Goodrich, DO
825 Se Bishop Blvd Ste 601,
Pullman, WA 99163-5512
Ph: (509) 334-5876 |
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