| Dr Gregory R Goodwin, DO | |
|
100 Hospital Dr, Lebanon, MO 65536-9210 | |
| (417) 533-6100 | |
| (417) 533-6173 |
| Full Name | Dr Gregory R Goodwin |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 100 Hospital Dr, Lebanon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689780744 | NPI | - | NPPES |
| 1689780744 | Medicaid | MO | |
| 431767432 | Other | MO | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 102077 (Missouri) | Primary |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | Mercy St Francis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20040120000229 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
| Entity Name | Mercy Hospital Lebanon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447284898 PECOS PAC ID: 7214829019 Enrollment ID: O20041021000208 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20061104000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory R Goodwin, DO 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6100 | Dr Gregory R Goodwin, DO 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6100 |
Evan E. Fusco, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 Fax: 417-533-6021 | |
Dr. Jeffrey Bond, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Dr. Anthony Jacob Pappas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Donald Edward Hockman Ii, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Dr. Erik Lee Snyder, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 |