Andrew Goodrum, PA-C - Medicare Physician Assistant in San Leandro, CA

Andrew Goodrum, PA-C is a medicare enrolled "Physician Assistant" in San Leandro, California. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. His current practice location is 13690 E 14th St Ste 200, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 297-0550.

Andrew Goodrum is licensed to practice in California (license number PA66152) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1245077577.

Contact Information

Andrew Goodrum, PA-C
13690 E 14th St Ste 200,
San Leandro, CA 94578-2584
(510) 297-0550
Not Available

Map and Direction




Provider's Profile

Full NameAndrew Goodrum
GenderMale
SpecialityPhysician Assistant
Experience1 Years
Location13690 E 14th St Ste 200, San Leandro, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Goodrum graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1245077577
  • Provider Enumeration Date: 07/12/2024
  • Last Update Date: 06/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5698287548
  • Enrollment ID: I20250625002705

Medical Identifiers

Medical identifiers for Andrew Goodrum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245077577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA66152 (California)Primary

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. Andrew Goodrum 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 AddressPractice Location Address
Andrew Goodrum, PA-C
Po Box 14376,
San Francisco, CA 94114-0376

Ph: () -
Andrew Goodrum, PA-C
13690 E 14th St Ste 200,
San Leandro, CA 94578-2584

Ph: (510) 297-0550

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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