Amy D Goodman, CRNA is a medicare enrolled "Clinic/center" in San Luis Obispo, California. She graduated from nursing school in 1999 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Premier Anesthesia Of Arkansas Professional Corporation and her current practice location is
1375 Oakwood Ct, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at
(970) 379-5531.
Amy D Goodman is licensed to practice in California (license number 2974) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942292701.
Provider's Profile
| Full Name | Amy D Goodman |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 26 Years |
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| Location | 1375 Oakwood Ct, San Luis Obispo, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy D Goodman graduated from nursing school in 1999
NPI Data:
- NPI Number: 1942292701
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 06/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 7810969714
- Enrollment ID: I20240228003033
Medical Identifiers
Medical identifiers for Amy D Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942292701 | NPI | - | NPPES |
| 100503782 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | CRNA000233 (Nevada) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA-183907 (Colorado) | Secondary |
| 261Q00000X | Clinic/center | 2974 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Premier Anesthesia Of Arkansas Professional Corporation | 6406077460 | 61 |
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. Amy D Goodman allows following entities to bill medicare on her behalf.
| Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932519485
PECOS PAC ID: 6406077460
Enrollment ID: O20141016002060 |
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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. Amy D 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 Address | Practice Location Address |
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Amy D Goodman, CRNA
Po Box 3037,
Pinedale, CA 93650-3037
Ph: (970) 379-5531 | Amy D Goodman, CRNA
1375 Oakwood Ct,
San Luis Obispo, CA 93401-5918
Ph: (970) 379-5531 |
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