| Justin Gooden, MD | |
|
10346 E Stonegate Ln Ste 100, Wichita, KS 67206-2054 | |
| (316) 871-0995 | |
| Not Available |
| Full Name | Justin Gooden |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 21 Years |
| Location | 10346 E Stonegate Ln Ste 100, Wichita, Kansas |
| 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 |
|---|---|---|---|
| 1205127982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 04-36002 (Kansas) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 04-36002 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoenix Home Care, Inc | Wichita, KS | Home health agency |
| All Saints Health Care Llc | Wichita, KS | Home health agency |
| Ascension At Home | Wichita, KS | Home health agency |
| Interim Healthcare Of Wichita | Wichita, KS | Home health agency |
| Love My Nurse, Llc | Wichita, KS | Home health agency |
| Wesley Medical Center | Wichita, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-kansas Wound Specialist P A | 3678562147 | 13 |
| Entity Name | Mid-kansas Wound Specialist P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326076977 PECOS PAC ID: 3678562147 Enrollment ID: O20040510000974 |
| Entity Name | Medical On Demand Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518618958 PECOS PAC ID: 3476936865 Enrollment ID: O20220817003292 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Gooden, MD 10346 E Stonegate Ln Ste 100, Wichita, KS 67206-2054 Ph: (316) 871-0995 | Justin Gooden, MD 10346 E Stonegate Ln Ste 100, Wichita, KS 67206-2054 Ph: (316) 871-0995 |
Terence Mcdonald, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2239 | |
Craig Paul Anderson, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Cessna Blvd, Wichita, KS 67215 Phone: 316-517-6632 | |
Randall G. Craig, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 S Hillside St, Wichita, KS 67211 Phone: 316-247-2095 Fax: 316-330-3900 | |
Mr. Ronald Baldwin Davis, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2629 E Harry, Wichita, KS 67211 Phone: 316-618-8644 Fax: 316-618-8730 |