| Michael Goodwin, DO | |
|
1140 Lexington Rd, Georgetown, KY 40324-9330 | |
| (502) 868-1100 | |
| Not Available |
| Full Name | Michael Goodwin |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 1140 Lexington Rd, Georgetown, Kentucky |
| 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 |
|---|---|---|---|
| 1053303529 | NPI | - | NPPES |
| 64079191 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 02834 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Georgetown Community Hospital | Georgetown, KY | Hospital |
| Baptist Health Corbin | Corbin, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Anesthesia Group Psc | 4082527890 | 36 |
| Kentucky Anesthesia Group Psc | 4082527890 | 36 |
| Entity Name | Kentucky Anesthesia Group Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
| Entity Name | Bluegrass Anesthesia Services, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548355100 PECOS PAC ID: 6305750209 Enrollment ID: O20031114000601 |
| Entity Name | Kentucky Medical Services Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Goodwin, DO 425 Lewis Hargett Cir, Lexington, KY 40503-3590 Ph: (859) 268-1030 | Michael Goodwin, DO 1140 Lexington Rd, Georgetown, KY 40324-9330 Ph: (502) 868-1100 |
Anthony Jay Lopez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
Raymond Depa, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
Edward J Ziembroski, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1140 Lexington Road, Georgetown, KY 40324 Phone: 502-868-1100 | |
Nadia Rasheed, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
Paul Skinner, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 |