Dustin Dominic Goetz, MD | |
202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 | |
(701) 223-7822 | |
(701) 223-7844 |
Full Name | Dustin Dominic Goetz |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 6 Years |
Location | 202 E Greenfield Ln Ste 100, Bismarck, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598177891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | PT15745 (North Dakota) | Secondary |
207L00000X | Anesthesiology | 15745 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Altru Hospital | Grand forks, ND | Hospital |
Chi St Alexius Health | Bismarck, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Altru Health System | 1355251604 | 520 |
Pain Treatment Center Anesthesiologists Pc | 4981693678 | 2 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
Entity Name | Pain Treatment Center Anesthesiologists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780707836 PECOS PAC ID: 4981693678 Enrollment ID: O20040507001291 |
Entity Name | Center For Pain Medicine Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902217474 PECOS PAC ID: 7012131501 Enrollment ID: O20140625000030 |
Mailing Address | Practice Location Address |
---|---|
Dustin Dominic Goetz, MD 202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 Ph: (701) 223-7822 | Dustin Dominic Goetz, MD 202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 Ph: (701) 223-7822 |
Calvin Motika, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-7000 | |
Dr. Samuel Aguhob, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
George Kwitka, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Hugh S Carlson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 202 E Greenfield Ln Ste 100, Bismarck, ND 58503 Phone: 701-223-7822 Fax: 701-223-7844 | |
Diosdado T Jaramillo, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Catherine T Puetz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Dr. Michael Jankoviak, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 310 N 10th St, Bismarck, ND 58501 Phone: 701-530-7500 Fax: 701-530-7484 |