| Jacob Goodwin, MD | |
|
320 East Main St, Crosby, MN 56441 | |
| (218) 546-7000 | |
| (218) 546-4400 |
| Full Name | Jacob Goodwin |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 6 Years |
| Location | 320 East Main St, Crosby, Minnesota |
| 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 |
|---|---|---|---|
| 1962031914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30726 (Minnesota) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 69580 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cuyuna Regional Medical Center | Crosby, MN | Hospital |
| Riverwood Healthcare Center | Aitkin, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cuyuna Regional Medical Center | 9537146550 | 133 |
| Entity Name | Mayo Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Entity Name | Cuyuna Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861414518 PECOS PAC ID: 9537146550 Enrollment ID: O20040707000501 |
| Entity Name | Cuyuna Regional Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538143896 PECOS PAC ID: 9537146550 Enrollment ID: O20160916001252 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Goodwin, MD 320 East Main St, Crosby, MN 56441 Ph: (218) 546-7000 | Jacob Goodwin, MD 320 East Main St, Crosby, MN 56441 Ph: (218) 546-7000 |
Dr. Lauren M Phillips, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 320 East Main St, Crosby, MN 56441 Phone: 218-546-7000 Fax: 218-546-4400 |