Charles M Goodwin, DC,LAC is a medicare enrolled "Acupuncturist" provider in Santa Cruz, California. His current practice location is
111 Dakota Ave Ste 2, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at
(831) 429-1188.
Charles M Goodwin is licensed to practice in California (license number AC6842) 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 1457492639.
Healthcare Provider's Profile
| Full Name | Charles M Goodwin |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 111 Dakota Ave Ste 2, Santa Cruz, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457492639
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436180676
- Enrollment ID: I20050826000512
Medical Identifiers
Medical identifiers for Charles M Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457492639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | DC17690 (California) | Secondary |
| 171100000X | Acupuncturist | AC6842 (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. Charles M Goodwin 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 |
Charles M Goodwin, DC,LAC 111 Dakota Ave Ste 2, Santa Cruz, CA 95060-6626 Ph: (831) 429-1188 | Charles M Goodwin, DC,LAC 111 Dakota Ave Ste 2, Santa Cruz, CA 95060-6626 Ph: (831) 429-1188 |
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