| Brent F Goodrich, CRNA | |
|
1501 E 10th St, Atlantic, IA 50022-1936 | |
| (712) 243-3250 | |
| (712) 243-7587 |
| Full Name | Brent F Goodrich |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 1501 E 10th St, Atlantic, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649567991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D127899 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cass County Memorial Hospital | Atlantic, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cass County Memorial Hospital | 5294634994 | 53 |
| Entity Name | Cass County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861597122 PECOS PAC ID: 5294634994 Enrollment ID: O20031231000681 |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598811069 PECOS PAC ID: 1951210418 Enrollment ID: O20040116000817 |
| Entity Name | Cass County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1093760944 PECOS PAC ID: 5294634994 Enrollment ID: O20071126000266 |
| Entity Name | Chi Health Clinic Physician Enterprise-anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639687114 PECOS PAC ID: 2264794569 Enrollment ID: O20180327000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent F Goodrich, CRNA 1501 E 10th St, Atlantic, IA 50022-1936 Ph: (712) 243-3250 | Brent F Goodrich, CRNA 1501 E 10th St, Atlantic, IA 50022-1936 Ph: (712) 243-3250 |
Mr. Roger George Mendenhall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 805 Linda Dr, Atlantic, IA 50022 Phone: 712-243-4563 Fax: 712-243-4563 |