Mr Donald Burgess Goodbrad, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Apison, Tennessee. His current practice location is
5108 Silver Ln, Apison, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(406) 495-0141.
Mr Donald Burgess Goodbrad is licensed to practice in Tennessee (license number APN0000034754) 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 1427160035.
Provider's Profile
| Full Name | Mr Donald Burgess Goodbrad |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 5108 Silver Ln, Apison, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427160035
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971931502
- Enrollment ID: I20240208001511
Medical Identifiers
Medical identifiers for Mr Donald Burgess Goodbrad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427160035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | RN37535 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN0000034754 (Tennessee) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN29818 (Montana) | Secondary |
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. Mr Donald Burgess Goodbrad allows following entities to bill medicare on his behalf.
| Entity Name | Crna Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942233150 PECOS PAC ID: 8820980212 Enrollment ID: O20040329001515 |
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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. Mr Donald Burgess Goodbrad 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 |
Mr Donald Burgess Goodbrad, CRNA Po Box 351, Collegedale, TN 37315-0351 Ph: (406) 495-0141 | Mr Donald Burgess Goodbrad, CRNA 5108 Silver Ln, Apison, TN 37302-9593 Ph: (406) 495-0141 |
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