Mr Michael Lee Goode, CRNA | |
201 Albert Ave, Scott City, KS 67871 | |
(620) 872-5811 | |
(620) 872-3660 |
Full Name | Mr Michael Lee Goode |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 201 Albert Ave, Scott City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760816912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 147414 (Kansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 557200 (Kansas) | Primary |
Entity Name | Citizens Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386678431 PECOS PAC ID: 8729996467 Enrollment ID: O20031222000868 |
Entity Name | Sheridan County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942316799 PECOS PAC ID: 7416842380 Enrollment ID: O20050211000547 |
Entity Name | Sheridan County Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1184635229 PECOS PAC ID: 7416842380 Enrollment ID: O20061104000258 |
Entity Name | Flint Hills Pain Management Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306103932 PECOS PAC ID: 0648419770 Enrollment ID: O20130620000288 |
Entity Name | New Wave Anesthesia Service Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811474760 PECOS PAC ID: 7719237494 Enrollment ID: O20180829003218 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Lee Goode, CRNA 201 Albert Ave, Scott City, KS 67871 Ph: (620) 872-5811 | Mr Michael Lee Goode, CRNA 201 Albert Ave, Scott City, KS 67871 Ph: (620) 872-5811 |