Tyler Goodman, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in West Plains, Missouri. He went to Kent State University College Of Podiatric Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Ozarks Medical Center and his current practice location is
1210 N Kentucky Ave, West Plains, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 256-1745.
Tyler Goodman is licensed to practice in Missouri (license number 2018009724) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255711313.
Healthcare Provider's Profile
| Full Name | Tyler Goodman |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 9 Years |
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| Location | 1210 N Kentucky Ave, West Plains, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tyler Goodman attended and graduated from Kent State University College Of Podiatric Medicine in 2015
NPI Data:
- NPI Number: 1255711313
- Provider Enumeration Date: 06/04/2015
- Last Update Date: 05/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 9032416052
- Enrollment ID: I20180618001185
Medical Identifiers
Medical identifiers for Tyler Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255711313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2018009724 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ozarks Medical Center | 3870491863 | 143 |
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. Tyler Goodman allows following entities to bill medicare on his behalf.
| Provider Name | Ozarks Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040209001035 |
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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. Tyler 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 |
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Tyler Goodman,
Po Box 1100,
West Plains, MO 65775-1100
Ph: (417) 256-1745 | Tyler Goodman,
1210 N Kentucky Ave,
West Plains, MO 65775-2030
Ph: (417) 256-1745 |
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