Marvin L Goodman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grove, Oklahoma. He graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Associates Of Grand Lake and his current practice location is
1310 S Main St, Grove, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 786-2243.
Marvin L Goodman is licensed to practice in Oklahoma (license number R0069405) 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 1538146733.
Provider's Profile
| Full Name | Marvin L Goodman |
|---|
| Gender | Male |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 26 Years |
|---|
| Location | 1310 S Main St, Grove, Oklahoma |
|---|
| 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:
- Marvin L Goodman graduated from nursing school in 1998
NPI Data:
- NPI Number: 1538146733
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 07/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 3476615113
- Enrollment ID: I20081215000423
Medical Identifiers
Medical identifiers for Marvin L Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538146733 | NPI | - | NPPES |
| 100789160A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0069405 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anesthesia Associates Of Grand Lake | 5597803353 | 2 |
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. Marvin L Goodman allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Associates Of Grand Lake |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1841525193
PECOS PAC ID: 5597803353
Enrollment ID: O20091116000357 |
|---|
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. Marvin L 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 |
|---|
Marvin L Goodman, CRNA
Po Box 450816,
Grove, OK 74345-0816
Ph: (918) 787-8980 | Marvin L Goodman, CRNA
1310 S Main St,
Grove, OK 74344-5304
Ph: (918) 786-2243 |
Reviews and Comments