Brandon Thomas Goodman, DPT is a medicare enrolled "Physical Therapist" provider in Peridot, Arizona. His current practice location is
103 Medicine Way Rd, Peridot, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 475-1200.
Brandon Thomas Goodman is licensed to practice in Oklahoma (license number 6237) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821709247.
Healthcare Provider's Profile
| Full Name | Brandon Thomas Goodman |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 103 Medicine Way Rd, Peridot, Arizona |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1821709247
- Provider Enumeration Date: 12/06/2022
- Last Update Date: 12/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355710245
- Enrollment ID: I20221215003049
Medical Identifiers
Medical identifiers for Brandon Thomas Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821709247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 6237 (Oklahoma) | Primary |
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. Brandon Thomas Goodman allows following entities to bill medicare on his behalf.
| Provider Name | San Carlos Apache Healthcare Corporation |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091 |
|---|
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. Brandon Thomas 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 |
|---|
Brandon Thomas Goodman, DPT
418 English Elm Ln,
Norman, OK 73069-9629
Ph: (405) 694-6597 | Brandon Thomas Goodman, DPT
103 Medicine Way Rd,
Peridot, AZ 85542-5000
Ph: (928) 475-1200 |
Reviews and Comments