| Julie A Goist, DDS | |
|
5861 Mason Dixon Highway, Blacksville, WV 26521 | |
| (304) 432-8211 | |
| Not Available |
| Full Name | Julie A Goist |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 5861 Mason Dixon Highway, Blacksville, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952615759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS038425 (Pennsylvania) | Primary |
| Entity Name | Cornerstone Care Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376512582 PECOS PAC ID: 7911811583 Enrollment ID: O20031118000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie A Goist, DDS Po Box 72, 5861 Mason Dixon Highway, Blacksville, WV 26521-0072 Ph: (304) 432-8211 | Julie A Goist, DDS 5861 Mason Dixon Highway, Blacksville, WV 26521 Ph: (304) 432-8211 |
Dr. Michael Tomoroksa, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5861 Mason Dixon Hwy, Blacksville, WV 26521 Phone: 304-432-8211 | |
Tara Hilleary, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5861 Mason-dixon Highway, Box 72, Blacksville, WV 26521 Phone: 304-432-8211 Fax: 304-432-8213 | |
Allison Wilson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5861 Mason-dixon Highway, Box 72, Blacksville, WV 26521 Phone: 304-432-8211 Fax: 304-432-8213 |