| Mark G Goetting, MD | |
|
3200 W Centre Ave, Suite 203, Portage, MI 49024-4889 | |
| (269) 324-0799 | |
| (269) 324-8013 |
| Full Name | Mark G Goetting |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3200 W Centre Ave, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093778755 | NPI | - | NPPES |
| 1093778755 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301044951 (Michigan) | Primary |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
| Entity Name | Bronson Battle Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093119638 PECOS PAC ID: 0547173478 Enrollment ID: O20041103000774 |
| Entity Name | Western Michigan University School Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316212343 PECOS PAC ID: 7517113954 Enrollment ID: O20120817000243 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G Goetting, MD 3200 W Centre Ave, Suite 203, Portage, MI 49024-4889 Ph: (269) 324-0799 | Mark G Goetting, MD 3200 W Centre Ave, Suite 203, Portage, MI 49024-4889 Ph: (269) 324-0799 |
Ravinder Mediratta, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1514 W Milham Ave, Portage, MI 49024 Phone: 269-342-0606 Fax: 269-342-0919 | |
Timothy John Oja, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-910-7327 | |
Dr. Niaz Mohammad, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-321-7090 | |
Mr. Thomas C Dunne, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 291 W Centre Ave, Portage, MI 49024 Phone: 269-488-8430 Fax: 269-488-8551 | |
Dr. Philip Alexander Mataverde, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3200 W Centre Ave Ste 203, Portage, MI 49024 Phone: 269-349-9745 |