| Riley Richard Goodrich, PA-C | |
|
100 Foden Rd, East, Ste 203, South Portland, ME 04106-2327 | |
| (207) 874-1489 | |
| (207) 523-8590 |
| Full Name | Riley Richard Goodrich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 100 Foden Rd, East, South Portland, Maine |
| 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 |
|---|---|---|---|
| 1346720653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAN1826 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermed Pa | 5092605261 | 185 |
| Entity Name | Intermed PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467422733 PECOS PAC ID: 5092605261 Enrollment ID: O20040319000548 |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073527388 PECOS PAC ID: 9335043967 Enrollment ID: O20050401000844 |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Richard Goodrich, PA-C 100 Gannett Dr Ste C, South Portland, ME 04106-5900 Ph: (207) 347-2947 | Riley Richard Goodrich, PA-C 100 Foden Rd, East, Ste 203, South Portland, ME 04106-2327 Ph: (207) 874-1489 |
Lindsay S. Harnden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41 Donald B Dean Dr Ste A, South Portland, ME 04106 Phone: 207-661-6064 |
Kirsten Ueland Gallery, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-773-0040 Fax: 207-661-4630 |
Christopher M Cathcart, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd Ste 203, South Portland, ME 04106 Phone: 207-874-1489 |
Marian Alexa Behmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd Ste 3, South Portland, ME 04106 Phone: 207-523-3700 Fax: 207-523-8590 |
Kathleen Virginia Lonergan, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-773-0040 Fax: 207-661-4630 |
Robert J Poor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-774-2642 Fax: 207-774-4293 |
Ms. Laurie Martens, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd E, Ste 203, South Portland, ME 04106 Phone: 207-874-1489 Fax: 207-523-8590 |