Jonathan M Goodin, MD in Carrollton, GA

Jonathan M Goodin, MD is a medicare enrolled "Pediatrics" physician in Carrollton, Georgia. His current practice location is 804 Dixie St, Carrollton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 834-0606.

Jonathan M Goodin is licensed to practice in Georgia (license number 58474) 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 1679530596.

Contact Information

	Jonathan M Goodin, MD
	804 Dixie St, Carrollton, GA 30117-4416
	(770) 834-0606
	(770) 834-1833

Map and Direction

Physician's Profile

Full Name	Jonathan M Goodin
Gender	Male
Speciality	Pediatrics
Location	804 Dixie St, Carrollton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679530596
Provider Enumeration Date: 04/26/2006
Last Update Date: 06/18/2010

Medicare PECOS Information:

PECOS PAC ID: 7012917594
Enrollment ID: I20070106000083

Medical Identifiers

Medical identifiers for Jonathan M Goodin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679530596	NPI	-	NPPES
000084170	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	58474 (Georgia)	Primary

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. Jonathan M Goodin allows following entities to bill medicare on his behalf.

Entity Name	Tanner Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657

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. Jonathan M Goodin 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
Jonathan M Goodin, MD 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 834-0606	Jonathan M Goodin, MD 804 Dixie St, Carrollton, GA 30117-4416 Ph: (770) 834-0606

Reviews and Comments

Pediatrics Doctors in Carrollton, GA

Emily Denney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650
Caitlin Mehalick Tierney, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606
Jack W Miller, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Pl, Ste 104, Carrollton, GA 30117 Phone: 770-830-7039 Fax: 770-830-7149
Nyla Faye Cline, NURSE PRACTIONER Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833
Charles Edward Stevenson Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833
Sushma Sudhi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650

Jonathan M Goodin, MD - Medicare Pediatrics in Carrollton, GA