| Dr Mini B Goddard, MD | |
|
1060 Eastwind Dr, Westerville, OH 43081-3331 | |
| (872) 231-3162 | |
| Not Available |
| Full Name | Dr Mini B Goddard |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1060 Eastwind Dr, Westerville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326033754 | NPI | - | NPPES |
| 2863512 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 35067560 (Ohio) | Primary |
| Entity Name | Kerner Pmr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669606018 PECOS PAC ID: 3375693666 Enrollment ID: O20090608000432 |
| Entity Name | Integrated Rehab Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20140701001452 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mini B Goddard, MD Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Dr Mini B Goddard, MD 1060 Eastwind Dr, Westerville, OH 43081-3331 Ph: (872) 231-3162 |
James Anthony Natalie Iii, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 460 Polaris Pkwy Ste 100, Westerville, OH 43082 Phone: 614-895-3344 Fax: 614-895-3795 | |
Evan Michael Berlin, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 340 Polaris Pkwy, Westerville, OH 43082 Phone: 614-839-2300 | |
Robin G Stanko, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 568 S Cleveland Ave, Suite B, Westerville, OH 43081 Phone: 614-895-3344 Fax: 614-895-3795 | |
Dr. Jonathan Thomas Napolitano, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 584 County Line Rd W, Westerville, OH 43082 Phone: 614-355-6000 | |
Dr. Michael J Simek, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 460 Polaris Pkwy Ste 100, Westerville, OH 43082 Phone: 614-895-3344 Fax: 614-895-3795 | |
Lok Wan Lei Valentas, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 460 Polaris Pkwy Ste 100, Westerville, OH 43082 Phone: 614-895-3344 Fax: 614-865-3795 |