| Stacy Goode, MD | |
|
301 Wanda St, Marietta, OK 73448-1229 | |
| (580) 276-2400 | |
| Not Available |
| Full Name | Stacy Goode |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 301 Wanda St, Marietta, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225248784 | NPI | - | NPPES |
| 009913532 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27479 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Mercy Health Love County | Marietta, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Love County Health Center | 4880580950 | 5 |
| Entity Name | Love County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881723013 PECOS PAC ID: 4880580950 Enrollment ID: O20040225000703 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Goode, MD 301 Wanda St, Marietta, OK 73448-1229 Ph: (580) 276-2400 | Stacy Goode, MD 301 Wanda St, Marietta, OK 73448-1229 Ph: (580) 276-2400 |
Stephen I Hutchins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 Fax: 580-276-4358 | |
Larry Dean Powell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 Fax: 580-276-4358 | |
Yanet Camarena, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 | |
John Thomas O'connor Jr., D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 Fax: 580-276-4358 |