MR. DERRICK D. GOODWILL (M.S., PA-C) – Medical Physician Assistant, NPI 1821122243
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2016-12-20. Reason: License revocation, suspension, or surrender.
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. DERRICK D. GOODWILL (M.S., PA-C)
1935 LAKESIDE PLAZA DR
SUGAR LAND, TX 774794226
Phone: (281) 491-0413
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77479)
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