Dr Randall Joe Goodman Ii, DPT is a
Physical Therapist based in Havana, Illinois. Dr Randall Joe Goodman Ii is licensed to practice in Illinois (license number 070.017311) and his current practice location is
615 N Promenade St, Havana, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 543-8578.
NPI number for Dr Randall Joe Goodman Ii is 1932463999 and his current mailing address is 615 N Promenade St, Havana, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932463999.
Healthcare Provider's Profile
Full Name | Dr Randall Joe Goodman Ii |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 615 N Promenade St, Havana, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932463999
- Provider Enumeration Date: 06/25/2012
- Last Update Date: 06/25/2012
Medical Identifiers
Medical identifiers for Dr Randall Joe Goodman Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932463999 | NPI | - | NPPES |
376017857001 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070.017311 (Illinois) | 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. Dr Randall Joe Goodman Ii 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 |
Dr Randall Joe Goodman Ii, DPT 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-8578 | Dr Randall Joe Goodman Ii, DPT 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-8578 |
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