Mark Kimball Goddard, MD - Medicare Internal Medicine in Murray, UT

Mark Kimball Goddard, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Murray, Utah. His current practice location is 5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 507-4000.

Mark Kimball Goddard is licensed to practice in Utah (license number 293990-1205) 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 1124101621.

Contact Information

Mark Kimball Goddard, MD
5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm,
Murray, UT 84107
(801) 507-4000
Not Available



Physician's Profile

Full NameMark Kimball Goddard
GenderMale
SpecialityInternal Medicine - Critical Care Medicine
Location5121 S. Cottonwood 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: 1124101621
  • Provider Enumeration Date: 10/20/2006
  • Last Update Date: 01/21/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1153336219
  • Enrollment ID: I20060209000662

Medical Identifiers

Medical identifiers for Mark Kimball Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124101621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine MD26606 (Oregon)Secondary
207RC0200XInternal Medicine - Critical Care Medicine MD00046412 (Washington)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 293990-1205 (Utah)Primary
207RP1001XInternal Medicine - Pulmonary Disease MD26606 (Oregon)Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD00046412 (Washington)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 293990-1205 (Utah)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. Mark Kimball Goddard allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079

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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. Mark Kimball Goddard 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
Mark Kimball Goddard, MD
5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm,
Murray, UT 84123

Ph: (801) 507-4000
Mark Kimball Goddard, MD
5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm,
Murray, UT 84107

Ph: (801) 507-4000

News Archive

FDA approves Novartis' Amturnide for treatment of high blood pressure

Today Novartis announced that the US Food and Drug Administration (FDA) approved Amturnide (aliskiren, amlodipine and hydrochlorothiazide) tablets for the treatment of high blood pressure. Amturnide combines the only approved direct renin inhibitor worldwide, Tekturna (aliskiren), with the widely used calcium channel blocker amlodipine and the diuretic hydrochlorothiazide (HCTZ).

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Internal Medicine Doctors in Murray, UT

Bogdan Ciprian Anea, MD
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: Intermountain Kidney Services Clinic, 5169 South Cottonwood Street, Suite 320, Murray, UT 84107
Phone: 801-507-2531    Fax: 801-507-2597
E Dennis Genebach, MD
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5801 Fashion Blvd, Murray, UT 84107
Phone: 801-314-4544    
Dr. Samuel Morris Brown, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood St, Murray, UT 84107
Phone: 801-507-6415    
Dr. Jamie Lynn Rebman, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5121 Cottonwood Rd, Suite 610, Murray, UT 84107
Phone: 801-507-3630    Fax: 801-507-3630
Dr. Kia Afshar, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5169 S Cottonwood St Ste 520, Murray, UT 84107
Phone: 801-507-4701    
Rachel Elizabeth Hu, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5171 S Cottonwood St Ste 610, Murray, UT 84107
Phone: 801-507-3900    Fax: 801-507-3640
Caroline Nebhan,
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5171 S Cottonwood St Ste 610, Murray, UT 84107
Phone: 801-507-3630    

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