Benjamin Ashby Goodrum, CNM, FNP - Medicare Midwife in Berkeley, CA

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Benjamin Ashby Goodrum, CNM, FNP is a medicare enrolled "Midwife" in Berkeley, California. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861893414.

Contact Information

Benjamin Ashby Goodrum, CNM, FNP
2450 Ashby Ave,
Berkeley, CA 94705-2067
(510) 204-3977
Not Available

Map and Direction




Provider's Profile

Full NameBenjamin Ashby Goodrum
GenderMale
SpecialityMidwife
Location2450 Ashby Ave, Berkeley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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: I20230424000319

Medical Identifiers

Medical identifiers for Benjamin Ashby Goodrum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861893414NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201406326NP-PP (Oregon)Secondary
367A00000XAdvanced Practice Midwife F002184-01 (New York)Secondary
176B00000XMidwife 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 NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NameLawrence Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023257441
PECOS PAC ID: 1759439631
Enrollment ID: O20090504000017

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 AddressPractice Location Address
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

Reviews and Comments



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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.