| Mr Michael Lee Goode, CRNA | |
|
201 Albert Ave, Scott City, KS 67871 | |
| (620) 872-5811 | |
| (620) 872-3660 |
| Full Name | Mr Michael Lee Goode |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 201 Albert Ave, Scott City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760816912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 147414 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 557200 (Kansas) | Primary |
| Entity Name | Citizens Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386678431 PECOS PAC ID: 8729996467 Enrollment ID: O20031222000868 |
| Entity Name | Sheridan County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942316799 PECOS PAC ID: 7416842380 Enrollment ID: O20050211000547 |
| Entity Name | Sheridan County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184635229 PECOS PAC ID: 7416842380 Enrollment ID: O20061104000258 |
| Entity Name | Flint Hills Pain Management Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306103932 PECOS PAC ID: 0648419770 Enrollment ID: O20130620000288 |
| Entity Name | New Wave Anesthesia Service Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811474760 PECOS PAC ID: 7719237494 Enrollment ID: O20180829003218 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Lee Goode, CRNA 201 Albert Ave, Scott City, KS 67871 Ph: (620) 872-5811 | Mr Michael Lee Goode, CRNA 201 Albert Ave, Scott City, KS 67871 Ph: (620) 872-5811 |