Michael R Goodman, MD | |
173 E Webster St, Colusa, CA 95932-2949 | |
(530) 458-8050 | |
(530) 458-5936 |
Full Name | Michael R Goodman |
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Gender | Male |
Speciality | Family Medicine |
Location | 173 E Webster St, Colusa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528019270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G070755 (California) | Primary |
Entity Name | Nivano Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649686684 PECOS PAC ID: 0840513321 Enrollment ID: O20150108002326 |
Entity Name | American Specialty Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568992923 PECOS PAC ID: 6103198460 Enrollment ID: O20170821003230 |
Mailing Address | Practice Location Address |
---|---|
Michael R Goodman, MD 173 E Webster St, Colusa, CA 95932-2949 Ph: (530) 458-8050 | Michael R Goodman, MD 173 E Webster St, Colusa, CA 95932-2949 Ph: (530) 458-8050 |
Ivaylo Veselinov, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 199 E Webster St, Colusa, CA 95932 Phone: 530-619-0800 | |
Holly Lorenzen, MSN, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 4th St, Colusa, CA 95932 Phone: 707-732-8679 | |
Julian L Delgado, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2967 Davison Ct., Suite A, Colusa, CA 95932 Phone: 530-458-8050 Fax: 530-458-5936 | |
Dr. Donald Edward Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 199 E Webster St, Colusa, CA 95932 Phone: 530-458-3283 Fax: 530-458-3215 | |
Dr. James Barrett Ii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3710 State Highway 45, Colusa, CA 95932 Phone: 530-458-5501 | |
Dr. Svetlana Moore, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3710 Highway 45 Ste A, Colusa, CA 95932 Phone: 530-458-6542 Fax: 530-458-8660 |