| Dr Mark Allen Goodson, MD | |
|
114 Welton Way Ste A, Mooresville, NC 28117-9251 | |
| (704) 664-5766 | |
| (704) 664-9311 |
| Full Name | Dr Mark Allen Goodson |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 114 Welton Way Ste A, Mooresville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487632881 | NPI | - | NPPES |
| 790243U | Medicaid | NC | |
| 2244486B | Other | NC | MEDICARE INDIVIDUAL |
| G54400 | Other | NC | UPIN |
| Entity Name | Rehabilitation Medicine & Pain Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598743981 PECOS PAC ID: 2466353040 Enrollment ID: O20040116000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Allen Goodson, MD 114 Welton Way, Suite A, Mooresville, NC 28117-9163 Ph: (704) 664-5766 | Dr Mark Allen Goodson, MD 114 Welton Way Ste A, Mooresville, NC 28117-9251 Ph: (704) 664-5766 |
John Michael Lesher, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd, Mooresville, NC 28117 Phone: 704-664-9506 Fax: 980-829-0640 | |
Allison K Miller, LAT, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 325 Airpark Dr, Mooresville, NC 28115 Phone: 704-402-4416 | |
Mrs. Caitlyn M Yackulich, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 114 Welton Way, Suite B, Mooresville, NC 28117 Phone: 704-660-6551 Fax: 704-660-9894 | |
Dr. Tyrone Edward Pitt Jr., DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 136 Corporate Park Dr Ste A, Mooresville, NC 28117 Phone: 704-360-2796 Fax: 704-360-2798 | |
Dr. William Charles Vanness Iii, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 116 Morlake Dr, Suite 204, Mooresville, NC 28117 Phone: 704-663-3777 Fax: 704-664-6615 |