Mr Michael L Goodmon, CRNA is a
Nurse Anesthetist, Certified Registered based in Burlington, Kansas. Mr Michael L Goodmon is licensed to practice in Kansas (license number 13-031143-061) and his current practice location is
801 N 4th St, Burlington, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 364-2121.
NPI number for Mr Michael L Goodmon is 1013002161 and his current mailing address is 1310 Penobscot St, Burlington, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013002161.
Provider's Profile
Full Name | Mr Michael L Goodmon |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 801 N 4th St, Burlington, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013002161
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Michael L Goodmon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013002161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 13-031143-061 (Kansas) | Primary |
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. Mr Michael L Goodmon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Michael L Goodmon, CRNA 1310 Penobscot St, Burlington, KS 66839-2279 Ph: (620) 364-5688 | Mr Michael L Goodmon, CRNA 801 N 4th St, Burlington, KS 66839-2602 Ph: (620) 364-2121 |
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