Timothy Goosby, CRNA is a
Nurse Anesthetist, Certified Registered based in Merced, California. Timothy Goosby is licensed to practice in California (license number NA1720) and his current practice location is
1390 E Yosemite Ave, #b, Merced, California. He can be reached at his office (for appointments etc.) via phone at
(209) 580-3400.
NPI number for Timothy Goosby is 1649477977 and his current mailing address is Po Box 7096, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649477977.
Provider's Profile
| Full Name | Timothy Goosby |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1390 E Yosemite Ave, Merced, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649477977
- Provider Enumeration Date: 06/29/2007
- Last Update Date: 08/12/2013
Medical Identifiers
Medical identifiers for Timothy Goosby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649477977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN 99747-030 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 118-033 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA1720 (California) | 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. Timothy Goosby 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 |
|---|
Timothy Goosby, CRNA
Po Box 7096,
Stockton, CA 95267-0096
Ph: (209) 956-7725 | Timothy Goosby, CRNA
1390 E Yosemite Ave, #b,
Merced, CA 95340-8221
Ph: (209) 580-3400 |
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