Keeci Goodman, CRNA in Roseville, CA - Medicare Nurse Anesthetist, Certified Registered

Keeci Goodman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roseville, California. Her current practice location is 1600 Eureka Rd, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 784-4000.

Keeci Goodman is licensed to practice in California (license number 95002492) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346077591.

Contact Information

	Keeci Goodman, CRNA
	1600 Eureka Rd, Roseville, CA 95661-3027
	(916) 784-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Keeci Goodman
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1600 Eureka Rd, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346077591
Provider Enumeration Date: 09/19/2024
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1850827551
Enrollment ID: I20241204003954

Medical Identifiers

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

Identifier	Type	State	Issuer
1346077591	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95002492 (California)	Primary

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. Keeci Goodman allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Keeci 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
Keeci Goodman, CRNA 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: () -	Keeci Goodman, CRNA 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roseville, CA

Mrs. Maria Yuri Christner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Mr. Thomas Kelly Rexinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3080 Alderwood Pl, Roseville, CA 95747 Phone: 916-601-5073
Rustam Blatov, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Amanda Wittmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Kelli Renee Linster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-474-6634
Amanda Dennis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-8000

Keeci Goodman, CRNA - Medicare Nurse Anesthetist, Certified Registered in Roseville, CA