Benjamin Ashby Goodrum, CNM, FNP is a medicare enrolled "Midwife" in Berkeley, California. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). His current practice location is
2450 Ashby Ave, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at
(510) 204-3977.
Benjamin Ashby Goodrum is licensed to practice in California (license number CNM236316) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861893414.
Provider's Profile
| Full Name | Benjamin Ashby Goodrum |
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| Gender | Male |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 5 Years |
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| Location | 2450 Ashby Ave, Berkeley, California |
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| Accepts Medicare Assignments | Yes. He 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:
- Benjamin Ashby Goodrum graduated from nursing school in 2021
NPI Data:
- NPI Number: 1861893414
- Provider Enumeration Date: 09/12/2014
- Last Update Date: 05/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981825361
- Enrollment ID: I20250612002399
Medical Identifiers
Medical identifiers for Benjamin Ashby Goodrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861893414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 201406326NP-PP (Oregon) | Secondary |
| 367A00000X | Advanced Practice Midwife | F002184-01 (New York) | Secondary |
| 176B00000X | Midwife | CNM236316 (California) | Primary |
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. Benjamin Ashby Goodrum allows following entities to bill medicare on his behalf.
| Entity Name | Sutter Bay Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909 |
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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. Benjamin Ashby 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 Address | Practice Location Address |
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Benjamin Ashby Goodrum, CNM, FNP
Po Box 276950,
Sacramento, CA 95827-6950
Ph: () - | Benjamin Ashby Goodrum, CNM, FNP
2450 Ashby Ave,
Berkeley, CA 94705-2067
Ph: (510) 204-3977 |
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