Jonathan Hancock Goodman, DPT | |
1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940 | |
(208) 233-2248 | |
(208) 233-0219 |
Full Name | Jonathan Hancock Goodman |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 1800 Flandro Dr Ste 190, Pocatello, Idaho |
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 |
---|---|---|---|
1093371031 | NPI | - | NPPES |
PT-6416 | Other | ID | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | PT-6416 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcdonald Rehab, Pc | 2163505603 | 14 |
Entity Name | Mcdonald Rehab, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497948509 PECOS PAC ID: 2163505603 Enrollment ID: O20080207000254 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Hancock Goodman, DPT 1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940 Ph: (208) 233-2248 | Jonathan Hancock Goodman, DPT 1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940 Ph: (208) 233-2248 |
Dr. Max Esposito, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1400 E Terry Dr, Pocatello, ID 83209 Phone: 208-282-2590 | |
Carolyn Frances Weber, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 754 Washington Ave, Pocatello, ID 83201 Phone: 505-412-8384 Fax: 208-908-7115 | |
Walter Jordan Wickham, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 | |
Dr. Austin Cliff Myers, MD, MBA Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2722 Fax: 208-239-3759 | |
James R Collet, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: Portneuf Medical Center, 651 Memorial Drive, Pocatello, ID 83201 Phone: 208-239-2020 Fax: 208-239-3737 | |
Bryan Philip Lawson, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 920 Deon Dr, Ste D, Pocatello, ID 83201 Phone: 208-425-1470 Fax: 108-425-1471 |