Michael William Goddard, MD | |
130 N Broadway Ave Ste 300, Shawnee, OK 74801-6939 | |
(405) 395-0399 | |
(405) 395-0330 |
Full Name | Michael William Goddard |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 49 Years |
Location | 130 N Broadway Ave Ste 300, Shawnee, Oklahoma |
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 |
---|---|---|---|
1285665109 | NPI | - | NPPES |
100094730D | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10925 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Centers, Inc. | 4688584436 | 6 |
Entity Name | Community Health Centers, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265415806 PECOS PAC ID: 4688584436 Enrollment ID: O20060914000328 |
Mailing Address | Practice Location Address |
---|---|
Michael William Goddard, MD 130 N Broadway Ave Ste 300, Shawnee, OK 74801-6939 Ph: (405) 395-0399 | Michael William Goddard, MD 130 N Broadway Ave Ste 300, Shawnee, OK 74801-6939 Ph: (405) 395-0399 |
Dr. David Lewis Hadley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 N Broadway Ave, Shawnee, OK 74804 Phone: 405-273-7879 Fax: 405-273-7885 | |
Dr. Lara Del Mashek, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W Macarthur St, Shawnee, OK 74804 Phone: 405-273-2270 Fax: 405-878-3468 | |
Dr. Monika Durska-keller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Gaynell Schieber Anderson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W Macarthur St, Shawnee, OK 74804 Phone: 405-878-8110 Fax: 405-214-1551 | |
Russell Craig Click, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3204 Medical Park Dr, Shawnee, OK 74804 Phone: 405-878-6800 Fax: 405-878-6831 | |
Mitchell A Wolf, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3214 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3794 |