| Kristi K Goodson, MD | |
|
4100 W University Dr, Prosper, TX 75078-3123 | |
| (945) 204-4100 | |
| (682) 885-1903 |
| Full Name | Kristi K Goodson |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 4100 W University Dr, Prosper, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982081196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | U6491 (Texas) | Primary |
| 208000000X | Pediatrics | E11591 (Arkansas) | Secondary |
| 208000000X | Pediatrics | U6491 (Texas) | Secondary |
| Entity Name | St Bernards Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396053096 PECOS PAC ID: 0941105480 Enrollment ID: O20101123000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi K Goodson, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Kristi K Goodson, MD 4100 W University Dr, Prosper, TX 75078-3123 Ph: (945) 204-4100 |
Jay S Jeon, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-303-3880 | |
Dr. Yetunde Olabosipo Kare-opaneye, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Nicole Kristen Nieman, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Dr. Yolande Mfondoum Pengetnze, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 |