| Dr Kenneth Thomas Goodell, KEN GOODELL | |
|
1515 Village Dr, Emergency Department, Cottage Grove, OR 97424-9700 | |
| (541) 942-0511 | |
| Not Available |
| Full Name | Dr Kenneth Thomas Goodell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 1515 Village Dr, Cottage Grove, Oregon |
| 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 |
|---|---|---|---|
| 1225164379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO150423 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Lebanon Community Hospital | Lebanon, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-valley Healthcare Inc | 2769391523 | 110 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20040513000725 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Thomas Goodell, KEN GOODELL Po Box 1193, Corvallis, OR 97339-1193 Ph: () - | Dr Kenneth Thomas Goodell, KEN GOODELL 1515 Village Dr, Emergency Department, Cottage Grove, OR 97424-9700 Ph: (541) 942-0511 |
Annaleigh Boggess, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-767-5222 Fax: 541-767-5230 | |
Kimberly Cronin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-0511 Fax: 541-942-0353 | |
Daniel Kranitz, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-0511 Fax: 541-942-0353 | |
Rebecca Fieles, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-767-5222 Fax: 541-767-5230 | |
Un Sok Seo, M.D. UN Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-0511 Fax: 541-942-0353 | |
Phillip Bonar, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-767-5222 Fax: 541-767-5230 |