John Ethan Goodrich, MD in Sacramento, CA

John Ethan Goodrich, MD is a medicare enrolled "Pediatrics" physician in Sacramento, California. His current practice location is 4610 X St, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 816-0478.

John Ethan Goodrich is licensed to practice in California (license number A149423) 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 1124449442.

Contact Information

	John Ethan Goodrich, MD
	4610 X St, Sacramento, CA 95817-2200
	(916) 816-0478
	Not Available

Map and Direction

Physician's Profile

Full Name	John Ethan Goodrich
Gender	Male
Speciality	Pediatrics
Location	4610 X St, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124449442
Provider Enumeration Date: 01/06/2014
Last Update Date: 03/08/2023

Medicare PECOS Information:

PECOS PAC ID: 8729413695
Enrollment ID: I20200123000172

Medical Identifiers

Medical identifiers for John Ethan Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124449442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A149423 (California)	Primary
208000000X	Pediatrics	M-17073 (Idaho)	Secondary
208M00000X	Hospitalist	A149423 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. John Ethan Goodrich allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Valley Childrens Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593

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. John Ethan 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
John Ethan Goodrich, MD 2215 Rose St, Berkeley, CA 94709-1430 Ph: (424) 366-3794	John Ethan Goodrich, MD 4610 X St, Sacramento, CA 95817-2200 Ph: (916) 816-0478

Reviews and Comments

Pediatrics Doctors in Sacramento, CA

Lena Claire Van Der List, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-2428
Dr. Mary Beth J Steinfeld, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 50th St, Uc Davis Department Of Pediatrics, Sacramento, CA 95817 Phone: 916-703-0271 Fax: 916-703-0243
Lindalee G Huston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5301 F St, #220, Sacramento, CA 95819 Phone: 916-455-8000 Fax: 916-733-6088
Alison My Lam, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3665
Marcela Lau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000
Donald Morley Null, Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 Stockton Blvd, Nicu, Sacramento, CA 95817 Phone: 916-703-3050 Fax: 916-703-3055
Dr. Elizabeth Partridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 510-428-4337

John Ethan Goodrich, MD - Medicare Pediatrics in Sacramento, CA