Kevin Goodwin, | |
110 W 6th St, Oswego, NY 13126-2507 | |
(315) 349-5733 | |
Not Available |
Full Name | Kevin Goodwin |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 110 W 6th St, Oswego, New York |
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 |
---|---|---|---|
1952763989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 711452 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
Memorial University Medical Center | Savannah, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fortis Health, Llc | 8325446305 | 12 |
Se Georgia Anesthesia, Llc | 8426466137 | 105 |
Entity Name | Mountainside Anesthesia Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346327152 PECOS PAC ID: 2365430899 Enrollment ID: O20040504000685 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Entity Name | Coastal Ambulatory Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
Entity Name | Ams Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Gi Anesthesia Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
Entity Name | Mak Anesthesia Northside Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
Entity Name | Se Georgia Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
Entity Name | Fortis Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659960276 PECOS PAC ID: 8325446305 Enrollment ID: O20211005002270 |
Mailing Address | Practice Location Address |
---|---|
Kevin Goodwin, 252 East 9th St, Oswego, NY 13126 Ph: (334) 332-7326 | Kevin Goodwin, 110 W 6th St, Oswego, NY 13126-2507 Ph: (315) 349-5733 |
Demir Ahmetovic, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 | |
Kathy Mills, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 West Sixth St, Oswego, NY 13126 Phone: 315-349-5511 Fax: 315-349-5785 | |
Mr. John Joseph Meade, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 Fax: 315-349-5785 | |
Manolito Ramirez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5598 |