Kevin David Goodman, MD - Medicare Emergency Medicine in Johnson City, NY

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Kevin David Goodman, MD is a medicare enrolled "Emergency Medicine" physician in Johnson City, New York. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice United Health Services Hospitals, Inc. and his current practice location is 33-57 Harrison St, Johnson City, New York. You can reach out to his office (for appointments etc.) via phone at (607) 763-6412.

Kevin David Goodman is licensed to practice in New York (license number 260881) 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 1528224334.

Contact Information

Kevin David Goodman, MD
33-57 Harrison St,
Johnson City, NY 13790-2107
(607) 763-6412
(607) 763-5854

Map and Direction




Physician's Profile

Full NameKevin David Goodman
GenderMale
SpecialityEmergency Medicine
Experience18 Years
Location33-57 Harrison St, Johnson City, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin David Goodman graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1528224334
  • Provider Enumeration Date: 07/31/2008
  • Last Update Date: 07/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7810175767
  • Enrollment ID: I20110624000397

Medical Identifiers

Medical identifiers for Kevin David Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528224334NPI-NPPES
03349066MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MT189347 (Pennsylvania)Secondary
207P00000XEmergency Medicine 260881 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
United Health Services Hospitals, IncBinghamton, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Health Services Hospitals, Inc.5193610533358

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. Kevin David Goodman allows following entities to bill medicare on his behalf.
Entity NameUnited Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013972801
PECOS PAC ID: 0345144978
Enrollment ID: O20031125000020
Entity NameUnited Health Services Hospitals, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962463851
PECOS PAC ID: 5193610533
Enrollment ID: O20040216001017

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. Kevin David Goodman 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 AddressPractice Location Address
Kevin David Goodman, MD
346 Grand Ave,
Johnson City, NY 13790-2580

Ph: (607) 763-6412		Kevin David Goodman, MD
33-57 Harrison St,
Johnson City, NY 13790-2107

Ph: (607) 763-6412

Reviews and Comments


Emergency Medicine Doctors in Johnson City, NY

John Peter Zevan, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6611    Fax: 607-763-6411
Dr. Shae Lynn Bolander, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854
Theodore M Petkov, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854
Abdullah Faiq, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    
Teresa A Sacco-bedosky, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5854
Mustafa Ali Khan, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    
Michael Shannon Hennessey, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.