Dr Jeremy Lr Goodwin, MS, MD in Petaluma, CA - Medicare Psychiatry & Neurology

Dr Jeremy Lr Goodwin, MS, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Petaluma, California. His current practice location is 1456 Professional Dr Ste 402, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 938-7951.

Dr Jeremy Lr Goodwin is licensed to practice in California (license number G76323) 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 1366547614.

Contact Information

	Dr Jeremy Lr Goodwin, MS, MD
	1456 Professional Dr Ste 402, Petaluma, CA 94954-6639
	(707) 938-7951
	(707) 938-7260

Map and Direction

Physician's Profile

Full Name	Dr Jeremy Lr Goodwin
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	1456 Professional Dr Ste 402, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366547614
Provider Enumeration Date: 09/13/2006
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 4880662691
Enrollment ID: I20090928000295

Medical Identifiers

Medical identifiers for Dr Jeremy Lr Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366547614	NPI	-	NPPES
R113031	Other	OR	NORIDAN
138326	Other	OR	OMAP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	G76323 (California)	Primary
208VP0000X	Pain Medicine - Pain Medicine	G76323 (California)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jeremy Lr Goodwin allows following entities to bill medicare on his behalf.

Entity Name	Sonoma Pain Management, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386935039 PECOS PAC ID: 9234309683 Enrollment ID: O20110823000494

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. Dr Jeremy Lr 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
Dr Jeremy Lr Goodwin, MS, MD 1456 Professional Dr Ste 402, Petaluma, CA 94954-6639 Ph: (707) 938-7951	Dr Jeremy Lr Goodwin, MS, MD 1456 Professional Dr Ste 402, Petaluma, CA 94954-6639 Ph: (707) 938-7951

Reviews and Comments

Psychiatry & Neurology Doctors in Petaluma, CA

Dr. David Arthur Browne, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 111 Liberty Street, Petaluma, CA 94952 Phone: 415-892-1041 Fax: 415-408-3400
Mario Mangiardi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1900 S Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-699-6100
Kenneth R. Wulff, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1503 Spring Hill Rd, Petaluma, CA 94952 Phone: 707-559-3895
Edna S. Rivera, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Paul Richard Mascovich, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 322 Jacquelyn Ln, Petaluma, CA 94952 Phone: 970-778-5810
Sophie Aneson-macleon, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1360 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-565-4708

Dr Jeremy Lr Goodwin, MS, MD - Medicare Psychiatry & Neurology in Petaluma, CA