Amy D Goodman, CRNA is a medicare enrolled "Clinic/center" in Rogers, Arkansas. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Youngs Professional Services Llc and her current practice location is
3728 S Pinnacle Hills Pkwy Ste 100, Rogers, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(970) 379-5531.
Amy D Goodman is licensed to practice in California (license number 2974) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942292701.
Provider's Profile
| Full Name | Amy D Goodman |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 27 Years |
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| Location | 3728 S Pinnacle Hills Pkwy Ste 100, Rogers, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy D Goodman graduated from nursing school in 1999
NPI Data:
- NPI Number: 1942292701
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 04/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 7810969714
- Enrollment ID: I20240228003033
Medical Identifiers
Medical identifiers for Amy D Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942292701 | NPI | - | NPPES |
| 100503782 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA-183907 (Colorado) | Secondary |
| 261Q00000X | Clinic/center | 2974 (California) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 227213 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA000233 (Nevada) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Youngs Professional Services Llc | 2163524992 | 301 |
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. Amy D Goodman allows following entities to bill medicare on her behalf.
| Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932519485
PECOS PAC ID: 6406077460
Enrollment ID: O20141016002060 |
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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. Amy D Goodman 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 |
|---|
Amy D Goodman, CRNA
6303 Sw Rutland Rd Apt 302,
Bentonville, AR 72713-8186
Ph: (970) 379-5531 | Amy D Goodman, CRNA
3728 S Pinnacle Hills Pkwy Ste 100,
Rogers, AR 72758-7031
Ph: (970) 379-5531 |
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