| Jason Michael Goodman, CRNA | |
|
611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | |
| (920) 568-5000 | |
| Not Available |
| Full Name | Jason Michael Goodman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 611 Sherman Ave E, Fort Atkinson, Wisconsin |
| 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 |
|---|---|---|---|
| 1669013702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 135084-30 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 9634-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Healthcare Inc | 0840189718 | 124 |
| Entity Name | Fort Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
| Entity Name | Upland Hills Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821258740 PECOS PAC ID: 3072415553 Enrollment ID: O20081016000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Michael Goodman, CRNA Po Box 249, Fort Atkinson, WI 53538-0249 Ph: (209) 563-4466 | Jason Michael Goodman, CRNA 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 568-5000 |
Ms. Jamie L Foltz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004 | |
Mr. Stefan J Gieryn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Eric Clark Bingner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: N1607 S Main St, Fort Atkinson, WI 53538 Phone: 920-568-0436 | |
Mr. Milan Jelic, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Mrs. Debra Lynn Bingham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Matthew L Brune, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Nathan Spangler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 |