Blaine Goodman, in Rolla, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Blaine Goodman, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rolla, Missouri. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Comprehensive Anesthesia Care Pc and his current practice location is 1000 W 10th St, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 458-8899.

Blaine Goodman is licensed to practice in Missouri (license number 2019012508) 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 1104483718.

Contact Information

	Blaine Goodman,
	1000 W 10th St, Rolla, MO 65401-2905
	(573) 458-8899
	Not Available

Map and Direction

Provider's Profile

Full Name	Blaine Goodman
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	1000 W 10th St, Rolla, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blaine Goodman graduated from nursing school in 2019

NPI Data:

NPI Number: 1104483718
Provider Enumeration Date: 05/20/2019
Last Update Date: 05/20/2019

Medicare PECOS Information:

PECOS PAC ID: 3173857570
Enrollment ID: I20190618002701

Medical Identifiers

Medical identifiers for Blaine Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104483718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2019012508 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Hospital	Chesterfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Comprehensive Anesthesia Care Pc	5799698551	39

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. Blaine Goodman allows following entities to bill medicare on his behalf.

Entity Name	Comprehensive Anesthesia Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215975156 PECOS PAC ID: 5799698551 Enrollment ID: O20031107000275

Entity Name	Phelps County Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20041005000085

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. Blaine 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
Blaine Goodman, 829 Oak Knoll Rd, Rolla, MO 65401-4715 Ph: () -	Blaine Goodman, 1000 W 10th St, Rolla, MO 65401-2905 Ph: (573) 458-8899

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Rolla, MO

Mr. William J. Jones, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401 Phone: 417-533-6010 Fax: 417-533-6173
Amanda C Wagner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 Fax: 573-341-5611
Charles Boone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899
Mr. Martin E Rivera, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899
Collin Dobson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899
Jason Anthony Corey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899

Blaine Goodman, - Medicare Certified Registered Nurse Anesthetist (crna) in Rolla, MO