Michael Joseph Gould, | |
82 Town Run Rd, Fairmount City, PA 16224-1502 | |
(814) 275-1600 | |
Not Available |
Full Name | Michael Joseph Gould |
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Gender | Male |
Speciality | Family Medicine |
Location | 82 Town Run Rd, Fairmount City, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205182136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OT014570 (Pennsylvania) | Primary |
Entity Name | Potomac Valley Hospital Of Wva, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316054919 PECOS PAC ID: 8123917788 Enrollment ID: O20040311001344 |
Mailing Address | Practice Location Address |
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Michael Joseph Gould, 310 Greencrest Dr, Shippenville, PA 16254-4208 Ph: () - | Michael Joseph Gould, 82 Town Run Rd, Fairmount City, PA 16224-1502 Ph: (814) 275-1600 |
Dr. Barry James Snyder, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1323 Brookville St, Fairmount City, PA 16224 Phone: 814-275-3320 Fax: 814-275-4413 | |
Michael John Carlson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 82 Town Run Rd, Fairmount City, PA 16224 Phone: 814-275-1600 | |
Tammy Ganoe, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1323 Brookville St, Fairmount City, PA 16224 Phone: 814-275-3320 Fax: 814-375-4413 |