Dr Richard Earl Goodman, MD is a medicare enrolled "Internal Medicine" physician in Lido Beach, New York. His current practice location is
529 Lido Blvd, Lido Beach, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 889-0031.
Dr Richard Earl Goodman is licensed to practice in New York (license number 160030) 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 1659301232.
Physician's Profile
| Full Name | Dr Richard Earl Goodman |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 529 Lido Blvd, Lido Beach, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659301232
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901830702
- Enrollment ID: I20050921000666
Medical Identifiers
Medical identifiers for Dr Richard Earl Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659301232 | NPI | - | NPPES |
| 01136410 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 160030 (New York) | Primary |
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 Richard Earl Goodman allows following entities to bill medicare on his behalf.
| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026 |
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| Entity Name | Winthrop Community Medical Affiliates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457873077
PECOS PAC ID: 5698092385
Enrollment ID: O20150317001669 |
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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 Richard Earl Goodman 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 |
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Dr Richard Earl Goodman, MD
529 Lido Blvd,
Lido Beach, NY 11561-5238
Ph: (516) 889-0031 | Dr Richard Earl Goodman, MD
529 Lido Blvd,
Lido Beach, NY 11561-5238
Ph: (516) 889-0031 |
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