Joshua Scaccia Goodman, PA is a medicare enrolled "Physician Assistant - Medical" in Lakeville, New York. His current practice location is
5989 Big Tree Rd Ste A, Lakeville, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 346-4460.
Joshua Scaccia Goodman is licensed to practice in New York (license number 029399) 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 1356041123.
Provider's Profile
Full Name | Joshua Scaccia Goodman |
---|
Gender | Male |
---|
Speciality | Physician Assistant - Medical |
---|
Location | 5989 Big Tree Rd Ste A, Lakeville, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356041123
- Provider Enumeration Date: 03/09/2023
- Last Update Date: 05/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305208141
- Enrollment ID: I20230810004086
Medical Identifiers
Medical identifiers for Joshua Scaccia Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356041123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 029399 (New York) | 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. Joshua Scaccia Goodman 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 |
Joshua Scaccia Goodman, PA 5989 Big Tree Rd Ste A, Lakeville, NY 14480-9719 Ph: (585) 346-4460 | Joshua Scaccia Goodman, PA 5989 Big Tree Rd Ste A, Lakeville, NY 14480-9719 Ph: (585) 346-4460 |
Reviews and Comments