Mark Kimball Goddard, MD in Murray, UT - Medicare Internal Medicine

Mark Kimball Goddard, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Murray, Utah. His current practice location is 5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 507-4000.

Mark Kimball Goddard is licensed to practice in Utah (license number 293990-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124101621.

Contact Information

	Mark Kimball Goddard, MD
	5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm, Murray, UT 84107
	(801) 507-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Kimball Goddard
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	5121 S. Cottonwood Street, Murray, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124101621
Provider Enumeration Date: 10/20/2006
Last Update Date: 01/21/2009

Medicare PECOS Information:

PECOS PAC ID: 1153336219
Enrollment ID: I20060209000662

Medical Identifiers

Medical identifiers for Mark Kimball Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124101621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	MD26606 (Oregon)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	MD00046412 (Washington)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	293990-1205 (Utah)	Primary
207RP1001X	Internal Medicine - Pulmonary Disease	MD26606 (Oregon)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	MD00046412 (Washington)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	293990-1205 (Utah)	Secondary

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 Kimball Goddard allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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 Kimball Goddard 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
Mark Kimball Goddard, MD 5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm, Murray, UT 84123 Ph: (801) 507-4000	Mark Kimball Goddard, MD 5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm, Murray, UT 84107 Ph: (801) 507-4000

Reviews and Comments

Internal Medicine Doctors in Murray, UT

Bogdan Ciprian Anea, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: Intermountain Kidney Services Clinic, 5169 South Cottonwood Street, Suite 320, Murray, UT 84107 Phone: 801-507-2531 Fax: 801-507-2597
Dr. Samah Bassas, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1278 E Darby Cir, Murray, UT 84117 Phone: 801-228-7228
E Dennis Genebach, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 5801 Fashion Blvd, Murray, UT 84107 Phone: 801-314-4544
Dr. Samuel Morris Brown, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-6415
Dr. Jamie Lynn Rebman, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5121 Cottonwood Rd, Suite 610, Murray, UT 84107 Phone: 801-507-3630 Fax: 801-507-3630
Dr. Kia Afshar, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 520, Murray, UT 84107 Phone: 801-507-4701
Rachel Elizabeth Hu, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 610, Murray, UT 84107 Phone: 801-507-3900 Fax: 801-507-3640

Mark Kimball Goddard, MD - Medicare Internal Medicine in Murray, UT