| Aidan Goodreau, PA-C | |
|
2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378 | |
| (903) 614-5641 | |
| Not Available |
| Full Name | Aidan Goodreau |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 2604 Saint Michael Dr Ste 425, Texarkana, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316811508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA19604 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic Texas | 3072426741 | 1540 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Mailing Address | Practice Location Address |
|---|---|
| Aidan Goodreau, PA-C 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378 Ph: Not Available | Aidan Goodreau, PA-C 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378 Ph: (903) 614-5641 |
William Bowling, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 |
Matthew Nathan Sparks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 |
Jennifer Siskron Ogle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1920 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-6114 Fax: 903-792-0582 |
Ms. Cynthiia Collum, RNFA, BSN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5420 Medical Parkway Dr, Texarkana, TX 75503 Phone: 903-793-8966 Fax: 903-792-1722 |
Kellie Lyn Flaherty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503 Phone: 903-614-5111 |
Bryan Spruill, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3008 Fax: 903-614-3525 |
Stephen Kyle Keith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 |