| Dianne L Goodale, MD | |
|
200 Clinic Dr, Madisonville, KY 42431-1661 | |
| (270) 825-7200 | |
| Not Available |
| Full Name | Dianne L Goodale |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 200 Clinic Dr, Madisonville, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497851562 | NPI | - | NPPES |
| 32926 | Other | KY | LICENSE |
| 000000044287 | Other | BCBS PROVIDER NUMBER | |
| 64329261 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 32926 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Home Care | Madisonville, KY | Home health agency |
| Baptist Health Madisonville | Madisonville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
| Baptist Health Deaconess Medical Group Inc | 6103220330 | 208 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
| Entity Name | Baptist Health Deaconess Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993 |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne L Goodale, MD 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: () - | Dianne L Goodale, MD 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200 |
Dr. Ediberto Dejesus Garcia, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7351 Fax: 270-825-6630 |