| Dr Carl William Goodchild Iii, MD | |
|
12780 Race Track Road, Suite 400, Tampa, FL 33626-1395 | |
| (813) 321-6262 | |
| (813) 792-2561 |
| Full Name | Dr Carl William Goodchild Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 12780 Race Track Road, Tampa, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023232600 | NPI | - | NPPES |
| 0053988122 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME103314 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayfront Health Brooksville | Brooksville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Emergency Services Llc | 8628153087 | 326 |
| W4p Llc | 9931489473 | 13 |
| Entity Name | W4p Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carl William Goodchild Iii, MD 4902 Eisenhower Blvd., Suite 300, Tampa, FL 33634-6344 Ph: (813) 636-2000 | Dr Carl William Goodchild Iii, MD 12780 Race Track Road, Suite 400, Tampa, FL 33626-1395 Ph: (813) 321-6262 |
Leslie Kapp-jones, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave Ste 126, Tampa, FL 33613 Phone: 813-866-0930 | |
Rania Hamvas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18101 Highwoods Preserve Pkwy, Tampa, FL 33647 Phone: 813-972-1030 Fax: 813-972-2224 | |
Caitlin Sarah Morgan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Mr. Ramon Santiago, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13250 N 56th St, Suite 101, Tampa, FL 33617 Phone: 813-988-1984 Fax: 813-988-0240 | |
Mr. Jose M Garcia, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2601 N Himes Ave, Tampa, FL 33607 Phone: 813-873-8071 Fax: 813-877-4031 | |
Dr. Paul James O Braonain, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3250 Zemke Ave, Tampa, FL 33621 Phone: 813-827-9548 Fax: 203-327-2991 | |
Dr. Vasant L Dabhi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3250 Zemke Ave, Tampa, FL 33621 Phone: 813-827-9657 Fax: 813-736-4845 |