| Dylan Goodrich, | |
|
4100 Campus Ridge Dr, Midland, MI 48640-6139 | |
| (989) 839-3060 | |
| Not Available |
| Full Name | Dylan Goodrich |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 9 Years |
| Location | 4100 Campus Ridge Dr, Midland, Michigan |
| 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 |
|---|---|---|---|
| 1396278180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 4301511295 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mymichigan Medical Center Midland | Midland, MI | Hospital |
| Mymichigan Medical Center West Branch | West branch, MI | Hospital |
| Mymichigan Medical Center Clare | Clare, MI | Hospital |
| Mymichigan Medical Center Alma | Alma, MI | Hospital |
| Mymichigan Medical Center Saginaw | Saginaw, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Midland | 2264323633 | 507 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan Goodrich, 4000 Wellness Dr, Midland, MI 48670-0001 Ph: Not Available | Dylan Goodrich, 4100 Campus Ridge Dr, Midland, MI 48640-6139 Ph: (989) 839-3060 |
Alyssa Vera-carrillo, PA-C Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4100 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-3393 |
Daniel Warren Vollhaber, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4100 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-3393 Fax: 989-839-3366 |