Casey Goderum, is a
Rehabilitation Practitioner based in Santa Rosa, California. Casey Goderum is licensed to practice in * (Not Available) (license number ) and her current practice location is
634 Pressley St, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(707) 573-6955.
NPI number for Casey Goderum is 1679277099 and her current mailing address is 420 E Cotati Ave, Cotati, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679277099.
Healthcare Provider's Profile
Full Name | Casey Goderum |
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Gender | Female |
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Speciality | Rehabilitation Practitioner |
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Location | 634 Pressley St, Santa Rosa, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679277099
- Provider Enumeration Date: 03/29/2023
- Last Update Date: 07/16/2025
Medical Identifiers
Medical identifiers for Casey Goderum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679277099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Casey Goderum 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 |
Casey Goderum, 420 E Cotati Ave, Cotati, CA 94931-4442 Ph: (707) 795-4336 | Casey Goderum, 634 Pressley St, Santa Rosa, CA 95404-5526 Ph: (707) 573-6955 |
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