| Patrick B Goodman, MD | |
|
2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6510 | |
| (701) 746-6336 | |
| (701) 772-1030 |
| Full Name | Patrick B Goodman |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2424 32nd Ave S Ste 202, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962500694 | NPI | - | NPPES |
| 17860 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 6215 (North Dakota) | Primary |
| Entity Name | Northeast Human Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366496341 PECOS PAC ID: 1658341441 Enrollment ID: O20040729000033 |
| Entity Name | Agassiz Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700972122 PECOS PAC ID: 9335116417 Enrollment ID: O20040916001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick B Goodman, MD 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6510 Ph: (701) 746-6336 | Patrick B Goodman, MD 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6510 Ph: (701) 746-6336 |
Dr. Matthew Joseph Roller, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 | |
Timothy A Peterson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4700 S Washington St Ste G, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501 | |
Dr. William Benjamin Pryatel Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 S. Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-253-3999 | |
Kathryn M. Tevington, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 151 S 4th St, Suite 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050 | |
Dr. Rose J. Julius, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Health System, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-3472 | |
Dr. Kenneth Chidi Asogwa, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 860 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6697 Fax: 701-780-1507 | |
Jinal Desai, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Altru Health System, 1200 South Columbia Road, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477 |