Chad Brian Gooderham, FNP - Medicare Nurse Practitioner in Fort Wainwright, AK

Chad Brian Gooderham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Wainwright, Alaska. His current practice location is 1060 Gaffney Rd, Fort Wainwright, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 353-5286.

Chad Brian Gooderham is licensed to practice in Wisconsin (license number ) 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 1639153091.

Contact Information

Chad Brian Gooderham, FNP
1060 Gaffney Rd,
Fort Wainwright, AK 99703-5001
(907) 353-5286
Not Available



Provider's Profile

Full NameChad Brian Gooderham
GenderMale
SpecialityNurse Practitioner - Family
Location1060 Gaffney Rd, Fort Wainwright, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639153091
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6204137060
  • Enrollment ID: I20151221001119

Medical Identifiers

Medical identifiers for Chad Brian Gooderham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639153091NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1927-033 (Wisconsin)Primary
363LF0000XNurse Practitioner - Family (Wisconsin)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. Chad Brian Gooderham 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
Chad Brian Gooderham, FNP
1123 Shannon Dr,
Fairbanks, AK 99701-3811

Ph: (907) 457-5158
Chad Brian Gooderham, FNP
1060 Gaffney Rd,
Fort Wainwright, AK 99703-5001

Ph: (907) 353-5286

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Nurse Practitioner Nurses in Fort Wainwright, AK

Mrs. Audry Marie Torres, FAMILY NURSE PRACTIT
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1060 Gaffney Rd, Fort Wainwright, AK 99703
Phone: 907-361-5326    
Monica Wyatt, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Fort Wainwright, AK 99703
Phone: 907-361-5930    
Christina C Hudson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Fort Wainwright, AK 99703
Phone: 907-361-0229    
Ms. Mary M. Nevin, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Fort Wainwright, AK 99703
Phone: 907-353-4126    
Emily Jean Lugdon, FNP-C APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Fort Wainwright, AK 99703
Phone: 907-361-5172    
Lorna D Newman-hill,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4076 Neely Rd, Fort Wainwright, AK 99703
Phone: 907-361-5611    

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