Wendy Monique Goodrich, PA C is a medicare enrolled "Physician Assistant" physician in Moscow, Idaho. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Gritman Medical Center Inc and her current practice location is
2500 W A St Ste 101, Moscow, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 882-0540.
Wendy Monique Goodrich is licensed to practice in Idaho (license number PA-1297) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255400388.
Physician's Profile
Full Name | Wendy Monique Goodrich |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 22 Years |
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Location | 2500 W A St Ste 101, Moscow, Idaho |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Wendy Monique Goodrich graduated from medical school in 2002
NPI Data:
- NPI Number: 1255400388
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 04/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779572599
- Enrollment ID: I20151116002532
Medical Identifiers
Medical identifiers for Wendy Monique Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255400388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | PA030391 (District Of Columbia) | Secondary |
363A00000X | Physician Assistant | 5747 (Georgia) | Secondary |
363A00000X | Physician Assistant | PA-1297 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Gritman Medical Center Inc | 0941545784 | 18 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wendy Monique Goodrich is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wendy Monique Goodrich, PA C 623 S Main St Ste 1, Moscow, ID 83843-3042 Ph: (208) 882-2011 | Wendy Monique Goodrich, PA C 2500 W A St Ste 101, Moscow, ID 83843 Ph: (208) 882-0540 |
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