Todd H Goodman, DPM is a medicare enrolled "Podiatrist" provider in South Milwaukee, Wisconsin. He went to William M. Scholl College Of Podiatric Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Aurora Medical Group, Inc., Lakeshore Medical Clinic Llc and his current practice location is
3611 S. Chicago Ave., Suite 100, South Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 762-7270.
Todd H Goodman is licensed to practice in Wisconsin (license number 749-25) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952489478.
Healthcare Provider's Profile
| Full Name | Todd H Goodman |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 29 Years |
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| Location | 3611 S. Chicago Ave., South Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Todd H Goodman attended and graduated from William M. Scholl College Of Podiatric Medicine in 1995
NPI Data:
- NPI Number: 1952489478
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537146915
- Enrollment ID: I20040702000687
Medical Identifiers
Medical identifiers for Todd H Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952489478 | NPI | - | NPPES |
| 43222400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 749-25 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aurora Medical Group, Inc. | 6709794258 | 3207 |
| Lakeshore Medical Clinic Llc | 7719890730 | 300 |
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. Todd H Goodman allows following entities to bill medicare on his behalf.
| Provider Name | Aurora Medical Group, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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| Provider Name | Lakeshore Medical Clinic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481 |
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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. Todd H 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 |
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Todd H Goodman, DPM
100 - 15th Avenue, Suite 180,
South Milwaukee, WI 53172-1160
Ph: (414) 768-5430 | Todd H Goodman, DPM
3611 S. Chicago Ave., Suite 100,
South Milwaukee, WI 53172-3738
Ph: (414) 762-7270 |
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