| Michael L Goforth, AUD | |
|
3400 Old Milton Pkwy, Bldg C, Ste 575, Alpharetta, GA 30005-3707 | |
| (770) 410-0202 | |
| (770) 410-0955 |
| Full Name | Michael L Goforth |
|---|---|
| Gender | Male |
| Speciality | Qualified Audiologist |
| Experience | 14 Years |
| Location | 3400 Old Milton Pkwy, Alpharetta, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275083651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD004125 (Georgia) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | A-1012 (Wyoming) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpharetta Ent Specialists Llc | 0941651848 | 4 |
| Provider Name | Alpharetta Ent Specialists LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447037130 PECOS PAC ID: 0941651848 Enrollment ID: O20240104002789 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Goforth, AUD 7215 Commons Cir Unit C, Cheyenne, WY 82009-2666 Ph: (307) 637-7415 | Michael L Goforth, AUD 3400 Old Milton Pkwy, Bldg C, Ste 575, Alpharetta, GA 30005-3707 Ph: (770) 410-0202 |
Lisa Key Osborne, MS, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy # C, Ste. 365, Alpharetta, GA 30005 Phone: 404-446-2400 |
Maureen Cassidy Riski, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 3333 Old Milton Pkwy Ste 520, Alpharetta, GA 30005 Phone: 770-777-1100 Fax: 770-751-9089 |
Ericka Ilene Tucker, M.S.CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2365 Old Milton Pkwy, Suite 200, Alpharetta, GA 30009 Phone: 678-825-2469 |
Dr. Daniel Hall Sisterhen, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3265 Kingshouse Commons, Alpharetta, GA 30022 Phone: 770-751-6992 |
Dr. Hannah Weinman, AUD Audiologist Medicare: May Accept Medicare Assignments Practice Location: 3400 Old Milton Pkwy Ste A410, Alpharetta, GA 30005 Phone: 770-225-1874 Fax: 678-254-0618 |
Dr. Norma Rivera Guttman, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3400 Old Milton Pkwy Ste C385, Alpharetta, GA 30005 Phone: 770-653-7027 Fax: 770-343-5190 |
Dr. Katherine Holt Mawhinney, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2365 Old Milton Pkwy Ste 200, Suite 200, Alpharetta, GA 30009 Phone: 770-740-1860 Fax: 770-753-0021 |