Dr Fred L Goodman Jr, MD | |
Marine Corps Air Station, Building 1175, Box 99116, Yuma, AZ 85369-9116 | |
(928) 269-6091 | |
Not Available |
Full Name | Dr Fred L Goodman Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | Marine Corps Air Station, Building 1175, Yuma, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700877628 | NPI | - | NPPES |
ME0074276 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0074276 (Florida) | Primary |
Entity Name | Northeastern Tribal Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871522532 PECOS PAC ID: 7911893854 Enrollment ID: O20040226000389 |
Mailing Address | Practice Location Address |
---|---|
Dr Fred L Goodman Jr, MD Naval Hospital Camp Pendleton, Building H-100, Camp Pendleton, CA 92055-5191 Ph: (928) 269-6091 | Dr Fred L Goodman Jr, MD Marine Corps Air Station, Building 1175, Box 99116, Yuma, AZ 85369-9116 Ph: (928) 269-6091 |
Dr. Tomasz Sebastian Gregory Fudalewski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1965 W 24th St Ste A, Yuma, AZ 85364 Phone: 928-344-5774 | |
Shawn Youngtae Sunu, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1965 W 24th St Ste A, Yuma, AZ 85364 Phone: 928-344-5774 | |
Dr. Simi K. Dhillon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Yuma Regional Medical Center, 2400s. Ave A, Yuma, AZ 85364 Phone: 928-344-2000 | |
Dr. Grace Anne Surprise Garratt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 S 8th Ave Ste 200, Yuma, AZ 85364 Phone: 928-336-7095 | |
Palak Satija, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 S Avenue A, Yuma, AZ 85364 Phone: 928-336-1290 | |
Dr. Ryan Paul Zerr, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2851 S Avenue B Ste 201, Yuma, AZ 85364 Phone: 928-726-5600 | |
Dr. Arun T Varughese, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 S Avenue A, Yuma, AZ 85364 Phone: 832-340-5657 |