Mrs Hadden F Goodman, PA-C in Alpine, WY - Medicare Physician Assistant

Mrs Hadden F Goodman, PA-C - Medicare Physician Assistant in Alpine, WY

Mrs Hadden F Goodman, PA-C is a medicare enrolled "Physician Assistant" in Alpine, Wyoming. Her current practice location is 23 Elkrun Hwy 89, Alpine, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 654-7138.

Mrs Hadden F Goodman is licensed to practice in Wyoming (license number 433) 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 1942493630.

Contact Information

	Mrs Hadden F Goodman, PA-C
	23 Elkrun Hwy 89, Alpine, WY 83128
	(307) 654-7138
	(307) 654-7201

Map and Direction

Provider's Profile

Full Name	Mrs Hadden F Goodman
Gender	Female
Speciality	Physician Assistant
Location	23 Elkrun Hwy 89, Alpine, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942493630
Provider Enumeration Date: 08/25/2007
Last Update Date: 04/24/2012

Medicare PECOS Information:

PECOS PAC ID: 9931289832
Enrollment ID: I20080104000298

Medical Identifiers

Medical identifiers for Mrs Hadden F Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942493630	NPI	-	NPPES
605960009	Other	WY	USDLAB

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	WY433 (Wyoming)	Secondary
363A00000X	Physician Assistant	433 (Wyoming)	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. Mrs Hadden F 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
Mrs Hadden F Goodman, PA-C P.o. Box 3047, Alpine, WY 83128 Ph: (307) 654-7138	Mrs Hadden F Goodman, PA-C 23 Elkrun Hwy 89, Alpine, WY 83128 Ph: (307) 654-7138