| Matthew Mortensen Goodman, MD | |
|
13830 W Camino Del Sol Ste 240, Sun City West, AZ 85375-4746 | |
| (623) 254-7375 | |
| (623) 259-6754 |
| Full Name | Matthew Mortensen Goodman |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 43 Years |
| Location | 13830 W Camino Del Sol Ste 240, Sun City West, Arizona |
| 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 |
|---|---|---|---|
| 1679556633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 20487 (Arizona) | Secondary |
| 207N00000X | Dermatology | 20487 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Donsky Bogle Dermatology Llc | 6608930763 | 7 |
| Goodman Dermatology And Mohs Surgery Pllc | 6406203686 | 3 |
| Entity Name | Donsky Bogle Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982849691 PECOS PAC ID: 6608930763 Enrollment ID: O20090204000411 |
| Entity Name | Goodman Dermatology And Mohs Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841073723 PECOS PAC ID: 6406203686 Enrollment ID: O20231109001026 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Mortensen Goodman, MD 13830 W Camino Del Sol Ste 240, Sun City West, AZ 85375-4746 Ph: (623) 254-7375 | Matthew Mortensen Goodman, MD 13830 W Camino Del Sol Ste 240, Sun City West, AZ 85375-4746 Ph: (623) 254-7375 |
Anthony D Santos, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14416 W Meeker Blvd, Bldg C, Sun City West, AZ 85375 Phone: 623-583-5180 Fax: 623-583-5304 | |
James W Groff, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14506 W Granite Valley Dr, 124, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 | |
Katharine M Bermingham Cordova, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14506 W Granite Valley Dr, #206, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 | |
Elizabeth A Owen, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14506 W Granite Valley Dr, 124, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 | |
Susan Whitmore, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14506 W Granite Valley Dr, #124, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 | |
John E Schlicher, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14506 W Granite Valley Dr, 124, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 |