Mark Clifford Goodwin, MD is a medicare enrolled "Family Medicine" physician in Burney, California. He went to State University Of Ny Upstate Medical University and graduated in 1998 and has 28 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Sonoma County Indian Health Project Inc and his current practice location is
36977 Park Ave, Burney, California. You can reach out to his office (for appointments etc.) via phone at
(530) 335-3651.
Mark Clifford Goodwin is licensed to practice in California (license number A70773) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396713434.
Physician's Profile
| Full Name | Mark Clifford Goodwin |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 28 Years |
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| Location | 36977 Park Ave, Burney, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark Clifford Goodwin attended and graduated from State University Of Ny Upstate Medical University in 1998
NPI Data:
- NPI Number: 1396713434
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 07/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 4981640950
- Enrollment ID: I20050629000919
Medical Identifiers
Medical identifiers for Mark Clifford Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396713434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | A70773 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sonoma County Indian Health Project Inc | 2961491238 | 22 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Clifford Goodwin allows following entities to bill medicare on his behalf.
| Entity Name | Sonoma County Indian Health Project Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265457980
PECOS PAC ID: 2961491238
Enrollment ID: O20040511000955 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Clifford Goodwin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mark Clifford Goodwin, MD
36977 Park Ave,
Burney, CA 96013-4067
Ph: (530) 335-3651 | Mark Clifford Goodwin, MD
36977 Park Ave,
Burney, CA 96013-4067
Ph: (530) 335-3651 |
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