Dr A Gary Goodman, DDS in Annapolis, MD - Medicare Dentist Provider

Dr A Gary Goodman, DDS is a medicare enrolled "Dentist" provider in Annapolis, Maryland. His current practice location is 1419 Forest Dr, Suite 207, Annapolis, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 263-1919.

Dr A Gary Goodman is licensed to practice in Maryland (license number 5906) 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 1194832436.

Contact Information

	Dr A Gary Goodman, DDS
	1419 Forest Dr, Suite 207, Annapolis, MD 21403
	(410) 263-1919
	(410) 267-9163

Healthcare Provider's Profile

Full Name	Dr A Gary Goodman
Gender	Male
Speciality	Dentist
Location	1419 Forest Dr, Annapolis, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194832436
Provider Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2163748328
Enrollment ID: I20150305000851

Medical Identifiers

Medical identifiers for Dr A Gary Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194832436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	5906 (Maryland)	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. Dr A Gary 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
Dr A Gary Goodman, DDS 1419 Forest Dr, Suite 207, Annapolis, MD 21403 Ph: (410) 263-1919	Dr A Gary Goodman, DDS 1419 Forest Dr, Suite 207, Annapolis, MD 21403 Ph: (410) 263-1919

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Dentist in Annapolis, MD

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Dr. Kurt Charles Jones, Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 West St, Suite100, Annapolis, MD 21401 Phone: 410-268-7790 Fax: 410-268-7874
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Dr. Robert A Leigh, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 104 Forbes St, Suite 203, Annapolis, MD 21401 Phone: 410-268-4945 Fax: 410-268-0426
Dr. Mary Passaniti, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 Harry S Truman Pkwy, Department Of Health And Mental Hygiene, Annapolis, MD 21401 Phone: 410-222-7138
Treva Willis, Dentist Medicare: Not Enrolled in Medicare Practice Location: 180 Admiral Cochrane Dr, Annapolis, MD 21401 Phone: 410-841-5131
Dr. Kim Ross, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 588 Bellerive Rd, Annapolis, MD 21409 Phone: 410-626-7018

Dr A Gary Goodman, DDS - Medicare Dentist in Annapolis, MD