Tyler Goodman, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in West Plains, Missouri. 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 | |
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Experience | 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. |
Medical Education and Training:
- Tyler Goodman attended and graduated from in
NPI Data:
- NPI Number: 1255711313
- Provider Enumeration Date: 06/04/2015
- Last Update Date: 05/21/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 2018009724 (Missouri) | 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. 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 |
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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