| Mary L Goodsett, MD | |
| 1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available | 
| Full Name | Mary L Goodsett | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Neurology | 
| Location | 1836 South Ave, La Crosse, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053316778 | NPI | - | NPPES | 
| 32560200 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 41047 (Wisconsin) | Primary | 
| Entity Name | Pine Ridge Indian Health Service Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mary L Goodsett, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Mary L Goodsett, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | 
| Mauricio Infante, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 212 11th St S, La Crosse, WI 54601 Phone: 608-392-9555 Fax: 608-392-9432 | |
| James Eldon Lean, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
| Alexander Molter, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 615 10th St S, La Crosse, WI 54601 Phone: 608-785-0940 Fax: 734-786-4915 | |
| Wonhee Lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
| Gabriela Balf, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
| Mr. Paul Samuel Spanel, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |