Jason Michael Goodman, CRNA in Fort Atkinson, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Jason Michael Goodman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Atkinson, Wisconsin. 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 Fort Healthcare Inc and his current practice location is 611 Sherman Ave E, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 568-5000.

Jason Michael Goodman is licensed to practice in Wisconsin (license number 9634-33) 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 1669013702.

Contact Information

	Jason Michael Goodman, CRNA
	611 Sherman Ave E, Fort Atkinson, WI 53538-1960
	(920) 568-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jason Michael Goodman
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	611 Sherman Ave E, Fort Atkinson, Wisconsin
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:

Jason Michael Goodman graduated from nursing school in 2019

NPI Data:

NPI Number: 1669013702
Provider Enumeration Date: 09/30/2019
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4688905383
Enrollment ID: I20191010002246

Medical Identifiers

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

Identifier	Type	State	Issuer
1669013702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	135084-30 (Wisconsin)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	9634-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fort Memorial Hospital	Fort atkinson, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fort Healthcare Inc	0840189718	122

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. Jason Michael Goodman allows following entities to bill medicare on his behalf.

Entity Name	Fort Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411

Entity Name	Upland Hills Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821258740 PECOS PAC ID: 3072415553 Enrollment ID: O20081016000442

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. Jason Michael 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
Jason Michael Goodman, CRNA Po Box 249, Fort Atkinson, WI 53538-0249 Ph: (209) 563-4466	Jason Michael Goodman, CRNA 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 568-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Atkinson, WI

Ms. Jamie L Foltz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004
Mr. Stefan J Gieryn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000
Kristen N Burg, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004
Mr. Milan Jelic, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000
Mrs. Debra Lynn Bingham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000
Nathan Spangler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000
Mr. Gregory James Foley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000

Jason Michael Goodman, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Atkinson, WI