Dr Greg R Goodman, MD - Medicare Surgery in Murray, UT

Dr Greg R Goodman, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Murray, Utah. His current practice location is 5323 S. Woodrow Street, #102, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 713-1010.

Dr Greg R Goodman is licensed to practice in Utah (license number 179027-1205) 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 1023019346.

Contact Information

Dr Greg R Goodman, MD
5323 S. Woodrow Street, #102,
Murray, UT 84107
(801) 713-1010
(801) 713-0665



Physician's Profile

Full NameDr Greg R Goodman
GenderMale
SpecialitySurgery - Vascular Surgery
Location5323 S. Woodrow Street, Murray, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023019346
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 05/31/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1153223599
  • Enrollment ID: I20040124000426

Medical Identifiers

Medical identifiers for Dr Greg R Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023019346NPI-NPPES
D0968MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 179027-1205 (Utah)Primary

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. Dr Greg R Goodman allows following entities to bill medicare on his behalf.
Entity NameMountain Medical Physician Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720035520
PECOS PAC ID: 5294639407
Enrollment ID: O20031120000357

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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. Dr Greg R 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 AddressPractice Location Address
Dr Greg R Goodman, MD
5444 Green St,
Salt Lake City, UT 84123-5632

Ph: (801) 284-1702
Dr Greg R Goodman, MD
5323 S. Woodrow Street, #102,
Murray, UT 84107

Ph: (801) 713-1010

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Surgery Doctors in Murray, UT

Dr. Philippe Paci, MDCM
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5171 S Cottonwood St Ste 210, Murray, UT 84107
Phone: 507-284-2511    
Mark John Ott, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5169 S Cottonwood St, Suite 400, Murray, UT 84107
Phone: 801-507-3462    Fax: 801-507-3061
Dr. Steven W Merrell, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107
Phone: 801-713-1010    Fax: 801-713-0665
Robert Dirk Noyes, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5169 Cottonwood St, #440, Murray, UT 84107
Phone: 801-507-3915    Fax: 801-507-3916
Clark J Rasmussen, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5169 Cottonwood St, Suite 410, Murray, UT 84107
Phone: 801-266-8850    
Steven R Granger, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5169 S Cottonwood St Ste 400, Murray, UT 84107
Phone: 801-507-3460    Fax: 801-507-3458

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